The University of Texas Medical Branch Care Manager - Care Management [Utilization Review] Galveston - EVENINGS in Galveston, Texas

Min Qualifications

RN with Bachelor's degree in Nursing and two years of inpatient experience in a hospital environment. Current license or valid permit to practice professional nursing in Texas.

JOB DESCRIPTION:

To screen assigned patient populations and, as needed, assess, counsel, educate, and provide discharge planning and problem solving; to ensure continuity throughout the episode of care; to provide timely and valid information to multi-disciplinary team, physicians and nursing related to discharges and follow-up care of patients. Acts as an advocate for patients and coordinates and collaborates with medical team to provide quality, cost-effective care, and to promote positive patient outcomes for UTMB patients.

Salary Range

The salary range for this position is $67,200/yr - $107,520/yr commensurate with experience

The pay band for this position is NS22

Specific Job Related Duties

Some of the responsibilities of the Utilization Review Nurse include but are not limited to:

Daily responsibilities

  1. Knowledge of Interqual software
  2. Observation cases review
  3. WQ’s
  4. Clinical Documentation
  5. Staff Education
  6. Peer to peer requests
  7. Communication with CM/SW
  8. Reporting (avoidable day reasons and opportunities)
  9. Teamwork
  10. Medical necessity surveillance
  11. Level of Care Determination
  12. Resource Management
  13. Regulatory compliance

Work Schedule

EVENING SHIFT: 4pm - 12am

Varied 8,10,12 hour shifts available + 1-2 weekends /month

Closing Statement

#nurse

Equal Employment Opportunity

UTMB Health strives to provide equal opportunity employment without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or veteran status. As a VEVRAA Federal Contractor, UTMB Health takes affirmative action to hire and advance women, minorities, protected veterans and individuals with disabilities.

Full/Part Time: Full-Time

Regular/Temporary: Regular

Job Title: Care Manager - Care Management [Utilization Review] Galveston - EVENINGS

Job ID: 53694

Location: Galveston

Business Unit: HOSPT