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RN Utilization Review Coordinator- BJC Healthcare

Company: BJC HealthCare
Location: Saint Louis
Posted on: February 23, 2021

Job Description:

Additional Job Information

  • 40 Hours per Week -
  • 8 Hour Shift -
  • 12 Hour Shift -
  • Benefits Eligible -
    Job ID:
    Employment Status: Full-Time
    More Information:
    Barnes-Jewish Hospital at Washington University Medical Center is the largest hospital in Missouri and is ranked as one of the nation's top hospitals by U.S. News & World Report. Barnes-Jewish Hospital's staff is composed of full-time academic faculty and community physicians of Washington University School of Medicine, supported by a house staff of residents, interns, fellows and other medical professionals. Recognizing its excellence in nursing care, Barnes-Jewish Hospital was the first adult hospital in Missouri to be certified as a Magnet Hospital by the American Nurses Credentialing Center.
    Overview
    Role PurposeEnsure that the administration of hospital resources are appropriate, efficient and fall within the parameters of the patient's payment structure while providing safe and quality care. Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization, which includes the evaluation of potential under and over-utilization according to patient's presentation and documentation. Education of medical providers and other health care professionals on the appropriate and cost-effective use of health care resources. Responsibilities
  • Uses clinical and analytical skills to review and interpret diagnostic test results to determine appropriateness of patient's level of care.
  • Uses Interqual Criteria to determine level of care for all elective inpatient hospitalizations to assure services are provided in the appropriate setting.
  • BJC has determined this is a safety-sensitive position. The ability to work in a constant state of alertness and in a safe manner is an essential function of this job. Minimum Requirements Degree
  • Bachelor's Degree - Nursing Experience
  • 2-5 years Supervisor Experience
  • No Experience Licenses & Certifications
  • RN Preferred Requirements and Additional Job Information Benefits Statement
    Note: not all benefits apply to all openings- Comprehensive medical, dental, life insurance, and disability plan options- Pension Plan*/403(b) Plan- 401(k) plan- Tuition Assistance- Health Care and Dependent Care Reimbursement Accounts- On-Site Fitness Center (depending on location)- Paid Time Off Program for vacation, holiday and sick time *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer Associated topics: asn, infusion, intensive care, nurse clinical, psychiatric, recovery, registed, staff nurse, tcu, unit

Keywords: BJC HealthCare, St. Louis , RN Utilization Review Coordinator- BJC Healthcare, Healthcare , Saint Louis, Missouri

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