RN — Utilization & Case Management (Quality Care)

Women & Infants; Warwick (RI); On-site; USD 65,000 - 85,000; Full time

Job summary

Women & Infants in Warwick, RI, is seeking a qualified individual responsible for analyzing medical records in preparation for billing and determining appropriate levels of care. The ideal candidate will have a Bachelor’s Degree in Nursing and at least five years of job-related experience.

Your role will involve communication with patients regarding their hospital stay and ensuring the quality of care. An RN license is required for this position. Join us in transforming healthcare.

Qualifications

• Minimum of five year's job-related experience or equivalent required.
• An RN license is also required.

Responsibilities

• Analyze patient’s medical record for proper utilization of resources and accurate payment.
• Develop the Hospital data base for case management.
• Analyze patient’s charts for quality of services rendered.
• Communicate to patient and/or patient’s family as necessary regarding the medical necessity of hospital stay.
• Determine level of care at discharge and participate in discharge planning.

Education

Bachelor’s Degree in Nursing

Job description

Women & Infants in Warwick, RI, is seeking a qualified individual responsible for analyzing medical records in preparation for billing and determining appropriate levels of care. The ideal candidate will have a Bachelor’s Degree in Nursing and at least five years of job-related experience.

Your role will involve communication with patients regarding their hospital stay and ensuring the quality of care. An RN license is required for this position. Join us in transforming healthcare.