Registered Nurse, Homecare (Part Time)

Care New England; Warwick (RI); On-site; USD 85,000 - 110,000; Full time

Job summary

Care New England Health System seeks an experienced registered nurse to analyze medical records for billing accuracy and determining the appropriate level of care. The role emphasizes utilization review and resource management across hospital services.

The position involves ensuring quality care, communicating medical necessity to patients or families, and collaborating with departments to finalize discharge planning.

Qualifications

• Bachelor's degree in Nursing and at least five years of related experience.
• RN license required.

Responsibilities

• Analyze patient records for proper utilization of beds and services and accurate payment.
• Develop the hospital database for case management and severity implications.
• Analyze patient charts for quality of services rendered and intervene to assure delivery of quality care.
• Communicate to patient and/or family regarding medical necessity of hospital stay.
• Coordinate with departments to determine level of care at discharge and participate in discharge planning.
• Perform all other related duties as assigned.

Skills

Nursing knowledge

Billing/compliance

Education

Bachelor's Degree in Nursing

Job description

Job Summary

Responsible for analyzing medical records for the preparation of attestments used in billing and responsible for determining the appropriate level of care, quality care delivered and resource management.

Duties & Responsibilities

• Analyze patient's medical record for proper utilization or resources(beds and services) and accurate payment.


• Develop the Hospital data base for case management and severity implications.


• Analyze patient's charts for quality of services rendered and intervene to assure the delivery of quality care.


• Communicate to patient and/or patient's family as necessary regarding the medical necessity of hospital stay.


• Communicate to appropriate departments to accurately determine level of care at discharge as well as participate in discharge planning.


• Performs all other related duties as assigned.

Requirements

• Bachelor's Degree in Nursing and a minimum of five years' job-related experience or equivalent is required.


• An RN license is also required.

About Us

Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.

EEO Statements

Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.

EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status

Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.