AZ - RN Case Management/Utilization Review

Please contact: To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Himanshi Pandit at email address   can be reached on #

630-576-1935

.
 
We have Contract role RN Case Management/Utilization Review for our client at Tuba City, AZ. Please let me know if you or any of your friends would be interested in this position.
 
Position Details:
RN Case Management/Utilization Review- Tuba City, AZ
Location                            : 167 N Main Street, Tuba City, AZ 86045
Project Duration           : Full Time Permanent Job
Salary                                 :  $105/Hourly
Shift Timing                    :  Monday to Friday, 8am-5pm Weekend on call rotation, would be 1 weekend a month
 
Position Summary:

• Incumbent serves as an Outpatient/Inpatient Case Manager/Utilization Review Registered Nurse (CM/UR RN) for TCRHCC and is responsible for direct supervision and supportive contact for the specific
• group of identified patient assignments and high-risk patients. The CM/UR RN is responsible for designing and managing a continuum of care focusing on empowering clients to achieve
• demonstrable outcomes and self-sufficiency.
• The CM/UR RN is responsible for assessment, service planning, and resource acquisition, monitoring progress and initiating and responding to emerging client needs. The CM/UR RN
• performs Utilization Review and Management/Clinical Documentation Chart Reviews of patients in the acute clinical care setting, ambulatory care setting and will conduct UR reviews as required. The CM/UR RN will work closely with the
• Social Work (MSW) Case Manager on Discharge Planning and Care Transitions. The CM/UR
• RN will work closely with the Physician Advisor and participate on the UR
• Committee as well as conduct Clinical Documentation Chart Reviews related to
• peer review, financial or insurance determination, or claims denials. The CM/UR
• RN will link the client with Community Social Service providers, health care
• providers, substance abuse, and mental health providers to achieve specific
• goals. The CM/UR RN will have experience
• working with culturally diverse low-income populations having multiple barriers
• to self-sufficiency such as: illiteracy, welfare dependency, domestic violence,
• substance abuse, and mental health issues.
• The CM/UR RN will work with a multidisciplinary team within the service
• delivery setting. The CM/UR RN will be
• committed to Case Management Services and have some collaboration with
• Purchased and Referred Care (PRC) formally known as Contract Health Services,
• providing assistance with the PRC Case Specialist. The CM/UR RN will be responsible to the
• Director of Care Coordination.

 
Education:
• Associates Degree in Nursing (ADN), must obtain bachelor’s in nursing within two (2) years
of hire
 
License/Certification:

• Must have and maintain current Basic Life Support (BLS) certification by the
• American Heart Association (AHA) throughout employment
• A valid, current, full and unrestricted Professional Nursing License to practice as
• a Registered Nurse (RN) in any state of the United States of America, The Commonwealth

of Puerto Rico, or a territory of the United States
 
Experience:
 

• Three (3) years of clinical nursing experience performing direct patient
• care with at least 2 years in an Inpatient setting on a medical-surgical unit, PACU,
• or higher acuity Inpatient unit (ICU, Step-Down, Telemetry, etc.) or home
• health (direct care) {clinical experience qualification may be determined by
• hiring manager/director.}
• Demonstrate knowledge of the case management, purchased referred care and utilization review processes.
• Demonstrate knowledge of electronic health record systems.
• *Must have 1 year of traveling experience as contractor*

 
To discuss this amazing opportunity, reach out to our Talent Acquisition Specialist Himanshi Pandit at email address   can be reached on #

630-576-1935

.
               
About generis tek: generis tek is a boutique it/professional staffing based in Chicago land. We offer both contingent labor & permanent placement services to several fortune 500 clients nationwide. Our philosophy is based on delivering long-term value and build lasting relationships with our clients, consultants and employees. Our fundamental success lies in understanding our clients’ specific needs and working very closely with our consultants to create a right fit for both sides. We aspire to be our client has most trusted business partner.