RN SNF UTILIZATION REVIEW, POST ACUTE CARE

Froedtert Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

A leading healthcare organization is seeking a skilled nursing professional to manage case responsibilities in a remote role. This position requires expertise in patient assessment, discharge planning, and collaboration with care teams to ensure optimal outcomes. Candidates should have a minimum of three years of acute care experience and a Bachelor's in Nursing, along with knowledge of Medicare guidelines.

Benefits

Paid time off

Growth opportunity - Career Pathways & Tuition Assistance

Medical, Dental, Vision Insurance

Retirement plan - 403b

Referral bonuses

Employee Assistance Programs

Qualifications

• Minimum of 3 years acute care nursing experience required.
• Experience with Interqual or MCG care web guidelines preferred.

Responsibilities

• Assess patients' functional status upon admission and weekly.
• Collaborate with multidisciplinary teams for discharge planning.
• Facilitate communication and resolve barriers to recovery.

Skills

Knowledge of Medicare guidelines

Knowledge of skilled nursing facilities care delivery model

Education

Bachelor's Degree in Nursing

Job description

Discover. Achieve. Succeed. #BeHere

Location: US

This job is REMOTE.

FTE: 1.000000

Shift: Shift 1

Work schedule: Monday-Friday 8am-4:30pm. No weekends or holidays.

Job Summary:

Assumes responsibility for assessing a patient's functional status upon skilled nursing facility admission and weekly to determine the optimal length of stay based on therapy goals, nursing care needs and other clinical factors directly related to the rehabilitation plan and aligns expectations of the skilled nursing facility multidisciplinary team, patient and families for discharge planning. Refers cases to the physician advisor consult as needed. Facilitates communication with the multidisciplinary team as it relates to the patient and identified treatment plan. Assure patients’ progress toward discharge goals and assists in resolving barriers. Engages with patients and families on identified recovery goals, length of stay and discharge planning activities initiated by the skilled nursing facility to support a successful transition of care. Works in accordance to established policies and procedures to ensure optimal patient outcomes. Has the ability to work with variable service lines and with multiple care teams. Other duties as assigned.

EXPERIENCE DESCRIPTION:

A minimum of 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. A minimum of 5 years of acute care nursing experience is preferred. Experience with Interqual, MCG care web QI or Indicia evidence based guidelines is strongly preferred.

EDUCATION DESCRIPTION:

Bachelor's Degree in Nursing is required.

SPECIAL SKILLS DESCRIPTION:

Knowledge of Medicare guidelines for skilled nursing needs. Knowledge of skilled nursing facilities care delivery model.

LICENSURE DESCRIPTION:

Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact). MCG certification is preferred. Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.

Compensation, Benefits & Perks at Froedtert Health

Pay is expected to be between: (expressed as hourly) $34.00 - $52.70. Final compensation is based on experience and will be discussed with you by the recruiter during the interview process.

Froedtert Health Offers a variety of perks & benefits to staff, depending on your role you may be eligible for the following:

• Paid time off
• Growth opportunity- Career Pathways & Career Tuition Assistance, CEU opportunities
• Academic Partnership with the Medical College of Wisconsin
• Referral bonuses
• Retirement plan - 403b
• Medical, Dental, Vision, Life Insurance, Short & Long Term Disability, Free Workplace Clinics
• Employee Assistance Programs, Adoption Assistance, Healthy Contributions, Care@Work, Moving Assistance, Discounts on gym memberships, travel and other work life benefits available

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

We are proud to be an Equal Opportunity Employer who values and maintains an environment that attracts, recruits, engages and retains a diverse workforce. We welcome protected veterans to share their priority consideration status with us at 262-439-1961. We maintain a drug-free workplace and perform pre-employment substance abuse testing. During your application and interview process, if you have a need that requires an accommodation, please contact us at 262-439-1961. We will attempt to fulfill all reasonable accommodation requests.