''406091'',''true'',''406091'',''false'',''Submission for the position: RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus) - (Job Number: 263840)'',''false'',''406091'',''false'',''true'',''RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus)'',''263840'',''!*!
Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospital''s utilization management and quality assurance plan. Will determine the medical necessity for admission and continued stays for patients within department''s scope of service and to meet the hospital''s objectives for assuring a high quality of patient care as well as assuring the effective and efficient utilization of available health services. Identifies appropriate level of care for inpatients and outpatients requiring overnight care.
Education
Other Graduate of an accredited school of nursing Required
Bachelor''s Degree BSN Required
Experience
2 years experience in clinical nursing preferably in acute care Preferred
General Experience in utilization review, case management, PreCertification, or discharge planning Preferred
General Experience and knowledge of Medicare, Medicaid, and commercial insurance guidelines Preferred
General Experience and knowledge of MCG and InterQual criteria tools Preferred
Licenses
PA Registered Nurse License Required or
Multi State Compact RN License Required
This position follows a hybrid schedule of 8:00 AM to 4:30 PM and includes a rotating requirement to work every third weekend.
'',''!*!
Utilizing InterQual and other appropriate criteria, responsible for reviewing all admissions and continued stay of patients in conformance with the established criteria set forth in the hospital''s utilization management and quality assurance plan. Will determine the medical necessity for admission and continued stays for patients within department''s scope of service and to meet the hospital''s objectives for assuring a high quality of patient care as well as assuring the effective and efficient utilization of available health services. Identifies appropriate level of care for inpatients and outpatients requiring overnight care.
Education
Other Graduate of an accredited school of nursing Required
Bachelor''s Degree BSN Required
Experience
2 years experience in clinical nursing preferably in acute care Preferred
General Experience in utilization review, case management, PreCertification, or discharge planning Preferred
General Experience and knowledge of Medicare, Medicaid, and commercial insurance guidelines Preferred
General Experience and knowledge of MCG and InterQual criteria tools Preferred
Licenses
PA Registered Nurse License Required or
Multi State Compact RN License Required
This position follows a hybrid schedule of 8:00 AM to 4:30 PM and includes a rotating requirement to work every third weekend.
'',''!*!
Your Tomorrow is Here!
Temple Health is a dynamic network of outstanding hospitals, specialty centers, and physician practices that is advancing the fight against disease, pushing the boundaries of medical science, and educating future healthcare professionals. Temple Health consists of Temple University Hospital (TUH), Fox Chase Cancer Center, TUH-Jeanes Campus, TUH-Episcopal Campus, TUH-Northeastern Campus, Temple Physicians, Inc., and Temple Transport Team. Temple Health is proudly affiliated with the Lewis Katz School of Medicine at Temple University.
To support this mission, Temple Health is continuously recruiting top talent to join its diverse, 10,000 strong workforce that fosters a healthy, safe and productive environment for its patients, visitors, students and colleagues alike. At Temple Health, your tomorrow is here!
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
'',''!*!
Your Tomorrow is Here!
TUH-Jeanes Campus, in Northeast Philadelphia, offers a unique combination: advanced medical and surgical services in a convenient, easy-to-access community setting. A member of Temple Health, TUH-Jeanes Campus has many services that are typically only found at downtown hospitals, including advanced cardiac, neurologic and orthopedic surgery. TUH-Jeanes Campus'' experienced doctors and dedicated staff offer patients access to many of the latest treatments and diagnostics, while never losing sight of its commitment to providing a compassionate, personal touch.
'',''Pennsylvania-Philadelphia'',''Pennsylvania-Philadelphia'',''Nursing Admin & Management'',''Nursing Admin & Management'',''Full-time'',''Full-time'',''Day Job'',''Day Job'',''Regular'',''Regular'',''false'',''406091'',''406091'',''true'',''406091'',''false'',''Submission for the position: RN Case Manager - Utilization Review (Temple Hospital Jeanes Campus) - (Job Number: 263840)'',''false'',''406091'',''false'',''true''
| Location | Philadelphia, PA |