RN: Utilization Review & Discharge Planning

Kern County Hospital Authority; Bakersfield (CA); On-site; USD 44,000 - 69,000; Full time

Benefits offered by this job

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Job summary

Kern Medical in Bakersfield, CA seeks a Utilization Review Nurse to implement hospital utilization review and discharge planning. Under supervision, you will review medical records, coordinate with physicians, and help ensure appropriate patient placements and efficient use of resources.

Requires California RN license and at least two years in acute care; experience as Case Manager or in discharge planning is preferred.

Qualifications

• Valid California RN license required.
• Minimum two years as RN in an acute care hospital.
• Two years as Case Manager or in discharge planning utilization.
• Must obtain RQI Provider certification within 60 days.

Responsibilities

• Obtain and evaluate medical records for admissions.
• Coordinate with payor sources and discharge planning activities.
• Develop and document discharge plans with care teams.
• Review DRGs and assist in reimbursement-related tasks.

Skills

RN

Discharge planning

Utilization review

Education

California RN License

Job description

Kern Medical in Bakersfield, CA seeks a Utilization Review Nurse to implement hospital utilization review and discharge planning. Under supervision, you will review medical records, coordinate with physicians, and help ensure appropriate patient placements and efficient use of resources.

Requires California RN license and at least two years in acute care; experience as Case Manager or in discharge planning is preferred.