Utilization Review Nurse
VIA Health Partners
Date: 3 weeks ago
City: Charlotte, NC
Contract type: Part time
Essential Functions
Clinical
Clinical
- Assists in obtaining orders, consents, and medical records upon request.
- Assists and supports the field staff in completing administrative tasks for their primary focus to be on patient visits.
- Assists with the completion of patient prescriptions and refills.
- Provides clinical input as needed for administrative processes.
- Completes documentation audits as directed.
- Maintains a collaborative relationship within VIA Health Partners and with key community partners to promote business development.
- Uses an electronic medical record and standard office software to manage patient data and communication between staff and healthcare providers.
- Manages low acuity palliative medicine patients.
- Assists in contacting referral source or referring physician for additional information as needed.
- Documents in Electronic Medical Records interactions with patient and families to keep EMR up to date.
- Collaborates with other PM team members to effectively balance workload of referrals and patient census.
- Facilitates transitions to hospice that are seamless for the referral source, patient, and family.
- A Diploma or associate degree in nursing is required; Bachelor’s Degree preferred.
- A current, active, and unrestricted compact (multistate) license as a Registered Nurse (RN) is required.
- The Nurse Licensure Compact (NLC) allows a registered nurse (RN) and licensed practical/vocational nurse (LPN/LVN) to have one multistate license in a primary state of residency (the home state) and to practice in other compact states (remote states), while subject to each state’s practice laws and discipline.
- Current CPR required; CHPN preferred.
- Minimum 2 years related experience. Experience in direct care of patients with life limiting illnesses required. Related experience may include hospice and palliative care; family medicine; internal medicine; geriatrics, oncology; home health care; medical surgical.
- Recent hospital experience and ability to perform clinical assessments required.
- Computer proficiency is required
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