Shaker for ChristianaCare Direct • Cincinnati, OH 45201 • Posted today
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Christiana Care Hospital is seeking a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting. The Utilization Management Nurse will work closely with ED providers to review medical necessity and collaborate for discharge planning, as appropriate. This role involves ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.
Case Manager (RN) – Utilization Management – Weekend Incentive Program (WIP)
Weekend Shift: Saturday & Sunday (Hours: 7pm-7am)
Newark, DE
Christiana Care Hospital currently recruiting a Registered Nurse (RN) for our Weekend Incentive Program (WIP) with experience in Utilization Management in an Acute Care Hospital Setting. The Utilization Management Nurse will work with ED providers to review medical necessity and collaborate for discharge planning, as appropriate.
The Utilization Management Nurse will be responsible for ensuring the delivery of efficient and effective health care while evaluating the medical necessity, appropriateness, and efficiency of the use of health care services, procedures, and facilities under the provision of the applicable health benefits plan.
As part of our Weekend Incentive Program (WIP) you will commit to work 3 out of 4 weekends per a four-week schedule for 12-hour shift on Saturdays, and Sundays from 7p – 7a.
Weekend Incentive Program Include: Special rate of pay and full benefits, except for Paid Time Off (PTO).
Scope, Purpose, And Frequency of Contacts:
Works collaboratively with the Utilization Management team, Denial Manager, Physician Advisor, Physician staff, Nursing staff, Case Management, Finance, Clerical Support staff and payer liaisons.
UTILIZATION MANAGEMENT:
PERFORMANCE IMPROVEMENT:
About Us
Christiana Care is one of the country’s most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. Christiana Care includes an extensive network of outpatient services, home health care, urgent care centers, three hospitals (1,336 beds), a free-standing emergency department, a Level I trauma center, a Level III neonatal intensive care unit, a comprehensive stroke center and regional centers of excellence in heart and vascular care, cancer care and women’s health.
Christiana Care Offers
EDUCATIONAL REQUIREMENTS:
PHYSICAL DEMANDS:
Ability to ambulate within the hospital setting (walking, stairs, etc.). Occasional sitting, standing, and lifting loads of 5-10 pounds. Ability to utilize computer equipment/programs. Ability to sit or stand at a computer workstation and proficiently utilize computer equipment/programs for long periods of time.
WORKING CONDITIONS:
Occasional exposure to Office materials (i.e., White Out, Toner, etc.)
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