Hospital Jobs NJ

HOSPITAL JOBS NJ / "MEDICAL JOBS"

Job Position: 10936-Chart Review

Location: Newark, NJ

Salary:

Company: Prime Time Personnel Inc.

Job Type: FULL TIME TEMPORARY (40 HOURS)

Date posted: 10TH JUNE 10

Expiry Date: 29TH JULY 10

Jobs ID: 10936-Chart Review

Job Description: "CAREERS IN USA"

This position is responsible for performing RN duties using established guidelines to ensure appropriate level of care as well as planning for the transition to the continuum of care. Performs duties and types of care management as assigned by management

RESPONSIBILITIES:

Evaluates the necessity, appropriateness and efficiency of medical services and procedures provided

Assesses patient’s clinical need against established guidelines and/or standards to ensure that the level or care and length of stay of the patient are medically appropriate for inpatient stay

Coordinates and assists in implementation of plan for members

Monitors and coordinates services rendered outside of the network, as well as outside the local area, and negotiate fees for such services as appropriate. Coordinates with patient, family, physician, hospital and other external customers with respect to the appropriateness of care from diagnosis to outcome

Monitors patient’s medical care activities, regardless of the site of service, and outcomes for appropriateness and effectiveness

Advocates for the member/family among various sites to coordinate resource utilization and evaluation of services provided

Coordinates the delivery of high quality, cost-effective care supported by clinical practice guidelines established by the plan addressing the entire continuum of care

Encourages member participation and compliance in the case/disease management program efforts

Documents accurately and comprehensively based on the standards of practice and current organization policies

Interacts and communicates with multidisciplinary teams either telephonically and/or on site striving for continuity and efficiency as the member is managed along the continuum of care

Understands fiscal accountability and its impact on the utilization of resources, proceeding to self-care outcomes

Evaluates care by problem solving, analyzing variances and participating in the quality improvement program to enhance member outcomes

Performs special projects as assigned by management

Requirements:

5 years experience required (some experience must be clinical)

Current RN License

Apply Now: Email: resumes@primetimepersonnel.com