What are the responsibilities and job description for the Utilization Coordinator - Case Management - Full Time Day position at Fairfield Medical Center?
Job Details
Description
For more than a century, Fairfield Medical Center has been a regional healthcare provider who delivers exceptional care to our patients by creating exceptional experiences for our employees.
Pay Rate: $26.57-$43.76 hourly
The driver behind our culture is that we all believe in the value of it, and we hire people into the organization who are also committed to making a difference. Our employees truly go the extra mile to serve our patients and each other.
When you join us, you become part of our team; it is our goal to not only be the best place you will ever work, but the only place you will want to work. Join our team. Make a difference.
Job Description:
The Utilization Coordinator works under the supervisor of Case Management to provide utilization coordination for all admissions of every age group and population served at FMC. Communicates and works with other departments within the system to ensure compliance with regulations for status orders. Assists in educational programs for staff development, participates in implementing effective protocols and changes that impact quality care, and functions to promote financial optimization.
- Screen all admissions for medical necessity.
- Performs utilization review to determine severity of illness and intensity of service.
- Determine recommendation of patient status using clinical information and medical record.
- Provides excellent customer service to physicians, staff, and patients.
- Provides timely feedback to referral sources and internal personnel facilitating patient admission.
- Demonstrates excellent nurse/physician communication skills.
- Ensures optimum utilization of hospital services, appropriate level of care, and documents in established system program.
- Collaborates with Physician Advisor to remove barriers to patient access and / or to facilitate patient throughout within the Center.
- Serves as a resource person for members of the healthcare team, including interpretation and understanding of status determination guidelines.
Qualifications
Job Qualifications:
- Graduate of accredited school of nursing, BSN preferred.
- Current Ohio RN License Required, Specialty Certification Preferred.
- 3-5 years of acute care experience required.
- Experience with insurance utilization review preferred.
Exerting up to 20-50 pounds of force occasionally, and/or up to 10-25 pounds of force frequently, and/or a negligible up to 10 pounds amount of force often.
Salary : $27 - $44
