Nurse Utilization-RN NE

Location: Wenatchee, WA
Facility: Confluence Health
Department:
Schedule: Pool Position
Shift: Day Shift
Hours:

Job Description

POOL POSITION – NO GUARANTEE OF SCHEDULED HOURS

Position Summary:

  • Performs utilization review in accordance with all state mandated regulations. Maintains compliance with regulation changes affecting utilization management. Reviews patients’ records and evaluates patient progress. Performs continuing review on medical records and identification and need of on-going hospitalization. Obtains and reviews necessary medical reports and subsequent treatment plan requests to conduct review Reviews and validates physician’s orders, reports progress and unusual occurrences on patients. Ensures appropriate and cost-effective healthcare services to patients. Documents review information in computer.

Qualifications:

  • Required:
    • Consideration will be given to an applicant enrolled in a BSN program with commitment to finish the program in an agreed-upon time.
    • Three (3) years experience in an acute care setting as a Health Care Professional with demonstrated expertise in specific clinical area.
    • Demonstrated skills in the areas of negotiation, communication (verbal and written), conflict, interdisciplinary collaboration, management, creative problem solving, and critical thinking. Knowledge of healthcare financing, community and organizational resources, patient care processes, and data analysis.
    • Excellent verbal and written communication skills.
    • Demonstrates flexibility via an ability to adapt to changing priorities and regulations.
    • Current licensure in the state of Washington (RCW 18.88).
    • Must be currently certified in BLS, and recertified annually.
    • Knowledge of utilization management
    • Knowledge of Regulatory Requirements.
    • Must possess basic computer skills related to Windows navigation, mouse usage, keyboarding, email communication and password management.
  • Desired:
    • Bachelor of Science in Nursing.
    • Nursing degree ADN or Diploma with Bachelor in health care or related field.
    • Masters in a related or complementary field with underlying Nursing Degree.
    • Accreditation in ACMA
Additional Information

About Confluence Health: Confluence Health is an integrated, rural healthcare delivery system with two hospitals, multi-specialty care in 30+ service lines and primary care in 11 communities across north central Washington State. Our 270 physicians and 130 advanced practice clinicians serve an area of approximately 12,000 square miles and cover nearly every corner of this region through specialty outreach. Our Mission: We are dedicated to improving our patients' health by providing safe, high-quality care in a compassionate and cost effective manner. Our Setting and Lifestyle: We are located in the heart of Washington State and just 2.5 hours east of Seattle. Our region offers a diverse array of recreational opportunities in breathtaking landscapes, from alpine country to the high desert, orchards to vineyards, cross country skiing to fly fishing and everything in between. Cycling, mountain biking, rafting, hiking; it is all right here. The region also offers a family friendly environment with excellent schools and cultural and art activities for the entire family.

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