Description: To become the first point of contact for the utilization process
for all patients who are not being discharged, high risk patients, potential
observation (OBS) patients, and OBS patients while working to ensure
documentation from the providers clearly supports the clinical issues that
will not allow the patient to be safely discharged. This involves extensive
record review, interaction with providers, and nursing staff.
Licensed and currently registered to practice as a professional nurse in New
York State required. B.S.N. degree preferred. Previous case management
required, Discharge planning experience required. Two (2) years of clinical
acute care nursing experience as an RN required. Demonstrated ability to
utilize/apply the general and specialized principals, practices, techniques
and methods of Utilization review/management, discharge planning or case
management. PRI and Screen Training. Working knowledge of regulatory
requirements and standards. Demonstrated ability to utilize written and
verbal communication, interpersonal, critical thinking and problem-solving
skills. MDS experience preferred. Computer literacy skills required.