Utilization Review Discharge Planner - Jefferson Healthcare

Utilization Review Discharge Planner

Patient Safety and Quality

Jefferson Healthcare

*Open to eligible current Jefferson Healthcare employees only*

Announcement #XXX-20YY

Jefferson Healthcare in Port Townsend, WA (www.jeffersonhealthcare.org) is looking for a dedicated and compassionate full time/part time/per diem/temporary Utilization Review Discharge Planner to join our team. We have a tight-knit team that is committed to providing the very best patient care. We love where we work and we are excited to introduce it to you! If you are looking to work with an exceptional team of professionals, we encourage you to consider Jefferson Healthcare. Work where your talent is truly appreciated.

Per diem employees may work 0-16 hours per week.

Temporary employees may be assigned to work up to 40 hours per week.

Who are you?

You are experienced, patient and adaptable to any kind of situation.

What can we offer you?

• Competitive salary
• Benefits package that is ranked in the top 1% in the state!
  • Medical, dental, vision, retirement, PTO and more!
• Additional 15% of base wages
• Hands-on training
• Opportunities for advancement

Position Description

Plans, organizes, coordinates, and performs risk, quality, compliance, and utilization management review. The position requires the ability to deal with confidential and sensitive information connected with the performance of primary care providers, nurses, ancillary, and support staff in the giving of medically appropriate care.

Education and/or Experience

Required

• Current Washington Sate RN license
• Commits to attaining UR/UM and/or Clinical Documentation Specialist certification within 2 years of
  hire
• Four years of clinical practice or patient care knowledge and experience

Preferred

• BSN or applicable Health Science degree
• Previous utilization review experience

Major Responsibilities

• Develops and maintains a system for utilization review of incoming patients
• Develops and implements audits for concurrent review of utilization, quality, and related performance of
  patient care staff. Performs professional Risk/Quality/Compliance Management and Utilization
  Management (QM/UM) activities
• Assists in the development, implementation and maintenance of the Quality Management/ Utilization
  Management programs and related reports and studies
• Serves as a liaison between the hospital and all external payers on issues related to intensity of service
  and severity of illness for patients
• Ensures the timely and seamless clinical transition of patients through medically appropriate levels of
  care
• Reviews hospital admissions for medical necessity and conducts concurrent reviews of all patients for
  utilization reviews to ensure correct admission status is ordered and length of stay is appropriate
• Provides appropriate information to physicians related to required documentation elements
• Documents all clinical review utilizing Interqual or other selected screening criteria
• Conduct site reviews of all primary care providers, focusing on medical record compliance
• Escalate medical issues to the Medical Director for review
• Conducts Quality and Compliance Audits, Medical Necessity Review and Process improvement projects
• Exercises complete objectivity and independence in the audit and site reviews of pre-admission
  information, categories of care, medical necessity, quality, and incidents with risk management
  implications

Schedule

X.X FTE; XX hours/week; Day Shift

Application Instructions

To apply for this position and future positions, please visit our careers website at https://jeffersonhealthcare.org/healthcare-careers/

This position will remain open until August 24, 2017.

Who We Are

Jefferson Healthcare is one of the Top Employers on the beautiful Olympic Peninsula and in close proximity to Seattle, Victoria, BC and Vancouver. We are a DNV accredited, 5 Star rated 25-bed Critical Access Hospital with six rural health clinics and a wide scope of specialty services; we provide exceptional care for more than 25,000 residents of East Jefferson County. We have numerous accreditations and awards and are recognized as Achieving Best Care by the Washington State Hospital Association. If you are looking to work with an exceptional team of professionals, we encourage you to consider Jefferson Healthcare. Work where your talent is truly appreciated.

Our Home

Port Townsend has been named as one of the coolest small towns in America ... with good reason. There are festivals almost every weekend, endless recreational/hiking/skiing/sailing activities, great places to eat, and a strong and vibrant community feel. National Geographic calls Port Townsend "one of the most sophisticated places west of Seattle" and we continue to receive awards year after year, such as 50 Safest Cities in Washington (Safewise.com), and 16 Best Places to Live in the US in 2015 (nearby Port Angeles by Outdoors Magazine). Come check us out!

Jefferson Healthcare is an Equal Opportunity and Affirmative Action Employer. We promote excellence through diversity and encourage all qualified individuals to apply.