Discharge Planning RN — Per Diem Care Transitions Expert

Wood County Hospital

East Midlands

On-site

GBP 49,000 - 68,000

Part time

14 days+

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Job summary

Wood County Hospital in Ohio is seeking a Utilization Review Registered Nurse for Discharge Planning on a per diem basis to coordinate safe, timely transitions from hospital to next level of care. You will work with physicians, social workers, nurses, patients, and families to assess needs and develop individualized discharge plans.

Requires Diploma Nurse or ADN, Ohio RN license, BLS, and at least 2 years acute care experience.

Qualifications

Education: Diploma Nurse or ADN from an accredited School of Nursing.
License: Registered Nurse in the State of Ohio
Experience: Two (2) years’ acute care
Certification: BLS

Responsibilities

Review clinical documentation to determine medical necessity, level of care, and continued stay appropriateness in accordance with established criteria, payer requirements, and regulatory standards.
Collaborate with physicians, nursing, case management, social work, and interdisciplinary teams to support timely care progression, discharge planning, and effective transitions of care.
Communicate utilization review findings, authorization requirements, and coverage determinations to providers, payers, and internal stakeholders in a clear and timely manner.
Document utilization review activities, decisions, and outcomes accurately within the medical record and designated utilization management systems to ensure compliance and audit readiness.
Monitor and support compliance with federal, state, accreditation, and payer regulations by identifying utilization trends, participating in quality improvement initiatives, and assisting with audits and surveys.