Resource Utilization Coordinator - Outcome Management - 499925

University of Toledo • Toledo, OH

58d • $33 - $43

About The Position

Responsible for coordinating the clinical care of patients by assessing, planning, and facilitating progression through the plan of care. Responsible for the collection of clinical information to determine medical necessity for admission and continued hospitalization. Reviews and monitors utilization of resources throughout the stay. Functions to ensure optimal clinical and financial outcome, as well as optimal patient satisfaction. Serves as a catalyst to challenge current practices and streamline delivery of services. Demonstrates professional interpersonal skills in dealing with patients, families, physicians, other staff and the community.

Requirements

• Active Registered Nurse (RN) license in the state of Ohio is required.
• Bachelor of Science in Nursing (BSN) is required.
• Alternatively, a Master of Science in Nursing (MSN) may be accepted in lieu of a BSN.
• In place of a degree, a minimum of 5 years of relevant experience in case management, utilization review, and/or clinical documentation is required
• Current Basic Life Support (BLS) certification is required.
• Minimum of 3 years of clinical nursing experience in an acute care hospital or behavioral health setting.
• Must have documented expertise in one or both of these settings.
• Able to work flexible hours; may be required to rotate shifts and work weekends and holidays.
• Competent in computer skills (Word, Excel, Internet and e-mail) required.
• visual acuity of 20/20 or corrected to 20/20 including color vision when applicable
• ability to hear (with or without aides)
• ability to orally communicate
• good manual dexterity
• ability to push, pull, roll, and transfer/lift 50 pounds occasionally
• ability to stand, walk frequently
• ability to bend, reach, stoop, kneel frequently
• ability to perform CPR

Nice To Haves

• Previous case management, utilization review, clinical documentation, and/or behavioral health experience preferred.

Responsibilities

• Coordinating the clinical care of patients by assessing, planning, and facilitating progression through the plan of care.
• Collection of clinical information to determine medical necessity for admission and continued hospitalization.
• Reviews and monitors utilization of resources throughout the stay.
• Functions to ensure optimal clinical and financial outcome, as well as optimal patient satisfaction.
• Serves as a catalyst to challenge current practices and streamline delivery of services.
• Demonstrates professional interpersonal skills in dealing with patients, families, physicians, other staff and the community.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees