What are the responsibilities and job description for the Utilization Management RN - Per Diem position at Fremont Hospital?
The Utilization Management RN is responsible for but not limited to the facilitation of pre-authorization, verification of benefits prior and/or during admission, clinically pertinent reviews on patient admissions for continued stay reviews including completion of certifications.
The Utilization Management RN will interface with managed care organizations, external reviewers and other payers to ensure that the admission, continued stay, and discharge plan is in compliance with TJC, HCFA, and established utilization management policies and procedures. On-going discharge planning documentation will be audited by the UM /Discharge planning staff with follow-up/coordination with the appropriate disciplines.
Commuting to Fremont Hospital is easy! It is convienently located near public transportation options such as AC Transit, BART, and the ACE Train.
Fremont Hospital offers comprehensive benefits for the per diem Utilization Management RN position, such as:
- Challenging and rewarding work environment
- Competitive compensation
- Tuition assistance
- Career development opportunities across UHS and our 300 locations!
- HealthStream online learning catalogue with plenty of free CEU courses
- Competitive compensation & generous paid time off
- Excellent Medical, Dental, Vision and Prescription Drug Plans
- 401(K) with company match and discounted stock plan
- Pet insurance
- SoFi Student Loan Refinancing Program
- More information is available on our Benefits Guest Website: uhsguest.com
Fremont Hospital is a fully accredited, 148-bed private inpatient psychiatric hospital providing quality care for children through adults. The facility provides a full assortment of care which includes assessments, inpatient psychiatric hospitalization, partial-hospitalization, intensive outpatient psychiatric treatment as well as chemical dependency outpatient care.
About UHS:
One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $11.6 billion in 2020. In 2021, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; in 2020, ranked #281 on the Fortune 500; and listed #330 in Forbes ranking of U.S.’ Largest Public Companies. Headquartered in King of Prussia, PA, UHS has 89,000 employees and through its subsidiaries operates 26 acute care hospitals, 334 behavioral health facilities, 39 outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 38 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.
Qualifications:Education:
- Graduation from an accredited clinical program in Nursing. Bachelor’s Degree preferred.
Experience:
- Minimum of 2 years direct clinical experience in a health care setting. Requires experience and/or utilization management, managed care or a related role.
Licensure:
- RN in state of California
Additional Requirements:
- Strong communication, problem-solving and analytical skills. Basic computer skills.
- Ability to work closely and effectively with physicians, patient/families, hospital staff, co-workers, and the community.
- Ability to assess patient needs based on age, physical and psychosocial need.
- Must be well versed in understanding the facilitation of patients through the continuum of care process and have a good degree of assertiveness in/or to actively advocate for the patient(s).
- Successful completion of CPR Certification.
- Successful completion of Crisis Preventative Intervention (CPI) course at Fremont Hospital within 90 days of employment and prior to assisting with restraining procedures.
- Able to work overtime and flexible hours if required.
Notice
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.
Salary: Starting from $53.50 to $68.00 an hourSalary : $12