RN Utilization Review Specialist

Key Responsibilities:

This position requires managing the continuum of care from admission through discharge for assigned patients. Key responsibilities include:

• Screens every patient to identify need for further assessment of medical necessity or discharge planning.
• Documents all team, physician, and patient/family communication and concerns pertaining to coordination of care and services.
• Adheres to the Care Management Department policies and procedures.
• Considers the patient population served, age-specific criteria, and the Watson Model of Care in all patient/family care and interaction.