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UM Review RN/Clinical Rounding

Company: Lee Health
Location: Fort Myers
Posted on: August 13, 2019

Job Description:

UM REVIEW RN/CLINICAL ROUNDING

LOCATION: 9981 So HealthPark Circle, Fort Myers, FL
DEPARTMENT: Utilization Management - Corporate
CATEGORIES: Nursing
TYPE: Part-Time
SHIFT: 8:00 AM-4:30 PM
SCHEDULE: Days

DESCRIPTION:

Performs utilization management functions that assure regulatory compliance, medical necessity and appropriate level of care. Facilitates concurrent documentation in the medical record to accurately reflect care, services and resources utilized in the delivery of patient care. Provides onsite hospital rounds and acts as a liaison with Physician Advisor, Case Management, Nursing and Physicians.

Requirements:

EDUCATIONAL REQUIREMENTS

DEGREE/DIPLOMA OBTAINED
PROGRAM OF STUDY
Required/
Preferred AND/OR

Associate's
Nursing
Required
and

ADDITIONAL REQUIREMENTS

Ongoing efforts to obtain Bachelor's degree within 5 years.
-------------------------

EXPERIENCE REQUIREMENTS

MINIMUM YEARS REQUIRED
AREA OF EXPERIENCE
Required/
Preferred AND/OR

3 Years
Acute Care
Required
and

1 Year
Utilization Management
Required
or

3 Years
Utilization Management
Required

-------------------------

STATE OF FLORIDA LICENSURE REQUIREMENTS

LICENSES
Required/
Preferred AND/OR

Registered Nurse License
Required

-------------------------

CERTIFICATIONS/REGISTRATION REQUIREMENTS

CERTIFICATES/REGISTRATIONS
Required/
Preferred AND/OR

ACM (Accredited Case Manager)
Required
or

CCM (Certified Case Manager)
Required
or

NACCM (National Academy of Certified Care Managers)
Required
or

ADDITIONAL REQUIREMENTS

Require Case Management certification, such as ACM, CCM, CMCN or NACCM within 3 years of employment.

Lee Health is a drug/tobacco-free workplace. Pre-employment drug testing is required.
We are an equal opportunity employer.

Keywords: Lee Health, Fort Myers , UM Review RN/Clinical Rounding, Healthcare , Fort Myers, Florida

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