Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Riverview Regional Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Located in Gadsden, Alabama, Riverview Regional Medical Center is a 281-bed acute-care hospital serving more than 350,000 residents in Etowah and the contiguous counties. A full range of services and programs are offered, including the only accredited Cath Lab in Northeast Alabama, Sleep Lab, Wound Care and Hyperbaric Center, and Women’s Diagnostic Imaging Center. Riverview Regional Medical Center is accredited by The Joint Commission (TJC) and is rated among the top 5% of hospitals in the nation for patient safety. Riverview is also the areas highest rated hospital, receiving Four-Stars from the Centers for Medicare and Medicaid (CMS). Originally named Holy Name of Jesus Hospital, Riverview Regional Medical Center was founded in 1917 by the Sisters of the Missionary Servants of the Most Blessed Trinity. Riverview was purchased by Prime Healthcare in 2016. Together they continue a mission of providing quality healthcare in the community it so proudly serves. To learn more about Riverview Regional Medical Center and the services it provides, visit www.riverviewregional.com
Responsibilities:
Coordinates and reviews all medical records, as assigned to caseload. Actively participates in Case Management and Treatment Team meetings. Serves as on-going educator to all departments. Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment is being met; gathering data and responding to request for records from payers/fiscal intermediary etc.; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Utilization Review and Case Management reporting. Able to work independently and use sound judgment. Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care for the continuity of treatment. Coordinates discharge referrals as requested by clinical staff, fiscal intermediary, patients, and families. Performs other duties as assigned
Qualifications:
EDUCATION, EXPERIENCE, TRAINING
Required qualifications:
1. Bachelor’s degree in Medicine or Nursing or related Clinical field.
Preferred qualifications:
1. ECFMG Certification And/or Bachelor’s or higher from a US-based accredited institution in a Health and Human Services field is highly preferred.
2. Utilization Review experience is highly preferred.
3. Must meet the performance standards set forth by the Hospital/ Department at UR Coordinator position for at least 6 months.
4. 1+ year of clinical experience in acute care setting preferred.
5. Excellent written and verbal communication skills. Excellent ritical thinking skills.
Employment Status: Full Time Shift: Days Equal Employment Opportunity:
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
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