Job Description
Description
Five years recent relevant clinical experience in an acute care facility
required.
Strong Interpersonal skills and ability to work with patients, families, providers, peers,
and other departments required.
Ability to use word processing and computer spreadsheets and other
computer-based programs required to do the job. Excellent communication and problem-solving, and
critical thinking skills.
Strong patient education abilities.
Knowledge of and experience with
InterQual® Level of Care Criteria, experience in automated InterQual® preferred.
Knowledge of the
regulatory environment, including Medicare Conditions of Participation, DNV standards, HIPAA, and
reporting requirements.
Submits appeals in a timely manner, upon request by the Director.
Initiates
discharge planning on assigned patients within 24 hours of admission. Revises discharge planning as
indicated by changes in the patient’s condition and circumstances.
Arranges for the post-discharge
needs of patients.
Clearly and accurately documents all patient/family interventions and
interactions.
Monitors for the efficient use of resources and reports to Director when there are
actual or potential sources of under- or over-utilization.
Collaborates with providers, nurses,
patients, families, and other care providers in the development and implementation of patient care
plans, including discharge planning, across the continuum of care in support of the GCRMC
Mission.
Communicates with providers regarding patient status and assists him/her in ensuring proper
placement of patient.
Conducts utilization review using nationally recognized medical necessity
criteria and documents the review.
Refers cases for second level reviews when medical necessity
criteria are not met.
Demonstrates familiarity with the various levels of care and community
resources available for each patient and the providers of these different aspects of care.
Actively
participates in interdisciplinary treatment planning rounds.
Utilizes innovative methods to
facilitate development and implementation of discharge plans.
Makes self available as resource to
nursing staff. Provides learning experiences to strengthen and expand the staff’s
expertise.
Participates in infection control activities by screening, monitoring, and reporting
individual cases and/or trends to the infection control nurse.
Performs utilization management
functions as required by payer source.
Complies with the Utilization Management
Plan.
RequirementsEducationRequired: Associate of ScienceLicenses &
CertificationsRequired: L-RN SinglestatePreferred: L-RN Multistate C-BLS
Additional Information:
- Specialty: RN
- Location: 2669 Scenic DriveAlamogordo, New Mexico 88310
- Contact:
About the Company:
CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of
more than 600 services and facilities, including more than 60 hospitals and long-term care
facilities, 350 clinics and outpatient centers, and dozens of other health ministries and
ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and
the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing
ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately
45,000 Associates and has more than 15,000 physicians on staff who provide care and support for
patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United
States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and
core values to deliver compassionate, high quality health care, improving the health of the
communities we serve. Above all, we are committed to providing our customers and their family
members with a truly unique healing experience, one that embodies our values and respects the
dignity and worth of each person. Creating a health care system that is truly excellent in all areas
is an ongoing effort.