Job: RN Bed Management Nurse-Pres Main-PRN-Varied Days

RN Bed Management Nurse-Pres Main-PRN-Varied Days

Requisition Number: 29244

Location: NM - Albuquerque

Type of Opportunity: PRN (as needed)

FLSA Classification: NON-EXEMPT

Minimum Experience: 1 year

Minimum Education: Associates Degree

Shift: Days

* Facilitate a team approach to the coordination and cost effective delivery of quality care and services across the continuum. Perform up-front review of all admissions to Presbyterian Hospital and Presbyterian Kasemen Hospital's to ensure admissions meet regulatory requirements for admission.

* Apply utilization review criteria to assess and document the appropriateness of admission, continued stay, level of care, and readiness for discharge; refer cases that do not meet criteria to designated Physician Advisor; collaborate with physician, care givers, patient, family, and payer to pro-actively develop and implement discharge plan.

* Interface and negotiate with physicians requesting to admit to PHS to ensure appropriate and timely payment for services.

* Ensure that the quality of patient care is maintained or surpassed by collecting quality indicators and clinical path variance data; report and identify data that indicate potential areas for improvement of care and services provided within the system.

* Collaborate with physicians, care providers, and ancillary support services to foster a team approach to address care management issues for specific patients and disease processes.

* Educate physicians, nurses, ancillary support staff, patients, and families regarding Care Coordination role; serve as utilization management resource.

BSN preferred, State of New Mexico RN License required. One year of experience in nursing specialty or related clinical field required.