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AdventHealth recherche un Infirmier en Gestion d'Utilisation (UM RN) pour analyser les dossiers des patients afin de préconiser des recommandations de soins appropriées. Dans ce rôle, vous utiliserez vos compétences cliniques pour assurer une gestion efficace des admissions et collaborer étroitement avec les équipes médicales. Ce poste est totalement à distance, avec des horaires plein temps du lundi au vendredi.
All the benefits and perks you need for you and your family:
· Benefits from Day One
· Paid Days Off from Day One
· Debt-free Education* (Certifications and Degrees without out-of-pocket tuition expense)
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding thattogetherwe are even better.
Schedule: Full Time Remote, Applicant must live within a 50-mile radius or be a current employee within an AdventHealth region.
Shift: Monday – Friday, 8am - 4:30pm, every 4th weekend, may vary based on business needs.
The community you’ll be caring for:
The role you’ll contribute:
The role of the Utilization Management (UM) Registered Nurse (RN) is to use clinical expertise by analyzing patient records to determine legitimacy of hospital admission, treatment, and appropriate level of care. The UM RN leverages the algorithmic logic of the XSOLIS Cortex platform, utilizing key clinical data points to assist in status and level of care recommendations. The UM RN is responsible to document findings based on department and regulatory standards. When screening criteria does not align with the physician order or a status conflict is indicated, the UM nurse is responsible for escalation to the Physician Advisor or designated leader for additional review as determined by department standards. Additionally, the UM RN is responsible for denial avoidance strategies including concurrent payer communications to resolve status disputes.
The value you’ll bring to the team:
The expertise and experiences you'll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
PREFERRED:
REGISTRATION REQUIRED: