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Utilization Review Surgery Nurse- RN

Singing River Health System

Ocean Springs, Mississippi

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JOB DETAILS
SKILLS
Accreditation Standards, Acute Care, Ambulatory Care, Basic Cardiac Life Support (BCLS), Case Management, Certified Case Manager (CCM), Communication Skills, Customer Support/Service, Detail Oriented, Government Organizations, Healthcare, Healthcare Quality, Hospital, Infectious Diseases, Keyboards, Microsoft Outlook, Microsoft Word, Multitasking, Nursing, Nursing Credentials, Office Equipment, Patient Care, Presentation/Verbal Skills, Publications, Registered Nurse (RN), Resource Management, Sales Closing Skills, Schedule Development, Surgical Nursing, Team Player, Time Management, Utilization Management, Willing to Travel, Writing Skills
LOCATION
Ocean Springs, Mississippi
POSTED
22 days ago
At Singing River Health System, caring isn't just part of the job - it's in our DNA. Whether we're saving lives, supporting behind the scenes, or showing up for our community, we bring the energy, heart, and hustle every single day.

With pride, passion, and commitment, we will improve health and save lives in our community every day.

Shift:
Monday- Friday, 8:00am - 4:30pm

Location:
Singing River Ocean Springs Hospital

Job Description Summary

Job Description

Position Overview:
The Case Manager focuses on clinical quality and resource management resulting in defined clinical satisfaction and financial outcomes. They coordinate patient care to a population of different ages within the Singing River Health System. Expectation is for all performed duties to be in accordance with Singing River Health System procedures and policies, accreditation organization, and governing guidance and publications for health care employees.

DISCLAIMER: This is not necessarily an exhaustive list of all responsibilities, duties, skills, efforts, requirements or working conditions associated with the job. While this intends to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks performed as assigned.

Education:
Graduate of an accredited School of Nursing; Bachelor's Degree in Nursing preferred.

License:
Current unrestricted Mississippi State licensure as a nurse.

Certifications:
Required to complete and maintain BCLS certification upon hire and/or transfer.

Prefer ACM or CCM (Certified Case Manager), Certification in Utilization Review, Certified Professional in Healthcare Quality-CPHQ is a plus. Will obtain certification within 2 years.

Must have de-escalation training completed by the end of position orientation (90 days); must have appropriate level of de-escalation training.

Experience:
3-5 years' Registered Nurse (RN) experience in surgical nursing, Utilization Review, Ambulatory or Acute Care that has relevance to the practice of Case Management preferred.

Reports to:
Director- Patient Resource Management

Supervises:
None

Physical Demands:
Work is moderately active: involves sitting with frequent requirements to move about the office, move about the facility, and to travel to another facility within the SRHS service area. Work involves exerting a negligible amount of force frequently to lift, carry, push, pull, or otherwise move objects, including the human body.

Work involves using many physical motions in performing daily work activities; subject to exposure of body fluids, sputum and tissues, which may carry the hazard of infectious disease. Work involves using repetitive motions: substantial movements of the wrists, hands, and or fingers while operating standard office equipment such as computer keyboard.

Work involves being able to perceive the nature of sound at normal speaking levels with or without correction; the ability to make fine discriminations in sound. Work requires close visual and acuity and the ability to adjust the eye to bring an object into sharp focus, i.e. shift gaze from viewing a computer monitor to forms/printed material that are closer to compare data at close vision.

Must be able to be active for extended periods of time without experiencing undue fatigue. Must be able to work schedules assigned with the understanding that changes may be instituted according to the needs of the hospital for off days, shifts or weekends.

Mental Demands:
Must demonstrate keen mental faculties/assessment and decision making abilities. Must demonstrate superior communication/speaking/enunciation skills to receive and give information in person and by telephone. Must demonstrate strong written and verbal communication skills. Must possess emotional stability conducive to dealing with high stress levels. Must demonstrate ability to work under pressure and meet deadlines.
Attention to detail and the ability to multi-task in complex situations is required. Must have the ability to maintain collaborative and respectable working relationships throughout SRHS and other organizations.

Special Demands:
Must possess superior customer service skills and professional etiquette. Must possess proficient knowledge and ability to use a computer (must be keyboard proficient) and other office technology (i.e., telephone, fax, etc.), MS Outlook and Word.

Must be able to demonstrate appropriate clinical judgment and apply appropriate professional skil

About the Company

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Singing River Health System