-
Clinical UR Specialist
4 weeks ago
Kaweah Health Care District Visalia, United StatesKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive service ...
-
Clinical UR Specialist
2 weeks ago
Kaweah Health Visalia, United StatesKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive service ...
-
RN-Clinical Risk Mgt. Specialist
2 weeks ago
Kaweah Health Visalia, United StatesRN-Clinical Risk Mgt. Specialist page is loaded · RN-Clinical Risk Mgt. Specialist · Apply · locations · Visalia, California · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · R24_ · Kaweah Health is a publicly owned, community healthcare ...
-
rn-clinical risk mgt. specialist
3 weeks ago
Kaweah Health Visalia, CA , USA, United StatesKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive service ...
-
Clinical UR Specialist
4 weeks ago
Kaweah Health Care District Visalia, United StatesKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive service ...
-
RN-Clinical Risk Mgt. Specialist
4 weeks ago
Kaweah Health Visalia, United StatesRN-Clinical Risk Mgt. Specialist page is loaded · RN-Clinical Risk Mgt. Specialist · Apply · locations · Visalia, California · time type · Full time · posted on · Posted 30+ Days Ago · job requisition id · R24_ · Kaweah Health is a publicly owned, community healthcare ...
-
RN-Clinical Risk Management Specialist
2 weeks ago
American Health Quality Association Visalia, United StatesThe · RN Clinical Risk Management Specialist · has oversight of the patient and family grievance process to ensure the Kaweah Health is promptly responding to care concerns. The Specialist also has oversight and monitoring of quality of care and patient safety concerns in the c ...
-
psychologist
3 weeks ago
State of California Tulare, United StatesJob Posting: Psychologist (Health Facility-Clinical-Safety) · Department of Developmental Services - Porterville Developmental Center · JC Psychologist (Health Facility-Clinical-Safety) · PSYCHOLOGIST (HEALTH FACILITY - CLINICAL - SAFETY) $8, $12,571.00 per Month · Final Fil ...
-
Travel Nurse
2 weeks ago
Triage Visalia, United StatesTriage is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $ / Week Travel Med Surg RN | Visalia, CA · Travel Nursing: Med/Surg Visalia, CA · Location: Visalia, CA ...
-
Travel Nurse
2 weeks ago
Triage Visalia, United StatesTriage is seeking an experienced Emergency Room Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: ASAP Duration: 13 weeks Travel ER RN | Visalia, CA · Travel Nursing: Emergency Department Visalia · Location: Visalia · Start Date: 5/6/ ...
-
Travel Nurse
3 days ago
Triage Visalia, United StatesTriage is seeking an experienced Operating Room Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel OR RN | Visalia, CA · Travel Nursing: OR Visalia, CA · Location: Visalia, CA · Start ...
-
Travel Nurse
2 weeks ago
Triage Visalia, United StatesTriage is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: ASAP Duration: 13 weeks Pay: $ / Week Travel Med Surg RN | Visalia, CA · Travel Nursing: Med/Surg Visalia, CA · Location: Visalia, CA ...
-
health services specialist
3 weeks ago
State of California Tulare, United StatesJob Posting: Health Services Specialist (Safety) · Department of Developmental Services - Porterville Developmental Center · JC Health Services Specialist (Safety) · HEALTH SERVICES SPECIALIST (SAFETY) $9, $11,780.00 per Month · Final Filing Date: Until Filled · Application ...
-
Travel Nurse
3 days ago
Triage Visalia, United StatesTriage is seeking an experienced Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel ICU RN | Visalia, CA · Travel Nursing: Intensive Care Unit Visalia, CA · Locatio ...
-
Travel Nurse
3 days ago
Triage Visalia, United StatesTriage is seeking an experienced Cardiovascular Intensive Care Unit Registered Nurse for an exciting Travel Nursing job in Visalia, CA. Shift: Inquire Start Date: 06/24/2024 Duration: 13 weeks Pay: $ / Week Travel CVICU RN | Visalia, CA · Travel Nursing: Cardiovascular Intensive ...
-
School-Based Speech-Language Pathologist
2 weeks ago
Soliant Tulare, United StatesMinimum 1+ years speech therapy experience required. · School-Based Speech-Language Pathologist (SLP-CCC) · Location: Palm Springs, CA · Start: 24/25 School Year · Type: Full or Part Time · Guaranteedhours, competitivehourly pay, and a weekly direct deposit · Position Overview: · ...
-
Medical Records Coordinator
2 weeks ago
Sequoia Vista at Kaweah Manor Visalia, United StatesSequoia Vista at Kaweah Manor - Healthcare, Dental, Vision · Paid-time Off · Your Job · The Medical Record Specialist will be responsible for maintaining resident medical records in accordance with State and Federal regulations, professional standard of practice and company polic ...
-
teacher, state hospitals
3 weeks ago
State of California Tulare, United StatesJob Posting: Teacher, State Hospitals (Severely Handicapped-Developmentally Disabled-Safety) · Department of Developmental Services - Porterville Developmental Center · JC Teacher, State Hospitals (Severely Handicapped-Developmentally Disabled-Safety) · TEACHER, STATE HOSPITAL ...
-
Department of Developmental Services - Porterville Developmental Center Tulare, United StatesJob Description and Duties · General description of duties: The Psychologist, Health Facility serves as a psychologist at a health facility, providing necessary psychological treatments/interventions and forensic/psychological assessments. Works in conjunction with the Senior P ...
-
Department of Developmental Services - Headquarters Tulare, United StatesJob Description and Duties · RE-ADVERTISEMENT: If you previously applied to this position, it is not necessary to submit a new application. · The DDS State-Operated Stabilization Training Assessment Re-Integration (STAR) homes provide individuals with Intellectual/Developmental ...
Clinical UR Specialist - Visalia, United States - Kaweah Delta
Description
Clinical UR Specialist - Per Diem page is loadedClinical UR Specialist - Per Diem
Apply
locations
Visalia, California
time type
Part time
posted on
Posted 30+ Days Ago
job requisition id
R23_
Kaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California.
With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics.
Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing.
Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.
Benefits EligibleNot Benefits Eligible
Work Shift
Day (United States of America)
Department
8790 Case ManagementThe Clinical UR Specialist works in collaboration with RN Case Management staff to gather clinical data to monitor quality and effectiveness of patient care.
Assists with planning and execution of safe discharge plan in a timely manner while working in collaboration with the multi-disciplinary team.
License /CertificationRequired:
CA LVN license
Education
Preferred:
Degree in Human Services areas of Social Work, Psychology or other health-related fields with medical terminology or equivalence.
Experience
Required:
Experience in extracting data from a medical record. Minimum of one year of clinical experience (acute care preferred).
Preferred:
Utilization review and/or coding experience.
Essential
Uses the results of quality of care/performance improvement activities to initiate changes in patient care practices:Collects clinical data for the RN to monitor quality and effectiveness of patient care.
Performs Utilization Management to meet
Case Management Goals:
Reviews and records utilization review data to determine medical necessity for assigned caseload in a manner to ensure all inpatient records are current.
Refers to Case Management team any variances that relate to concurrent review of the medical record. During chart review, is aware of criteria for quality variances. Complies with Kaweah Health Policy by reporting utilization variances to Case Management Committee and/or the P.I. department as indicated.Reviews medical records for admission and continued stay utilizing InterQual Severity of Illness and Intensity of Service for appropriateness of the admission, continued stay, and utilization of resources.
Must also review all cases transferred in and out of special/intensive care areas using specific criteria. Participants in Sub Committee reviews as designated. Issues a non-certification letter as directed by the Case Management Committee.Informs the Case Management Team and attending physician of any questionable or denied cases resulting from the review of the onsite Medi-Cal reviewer, CMRI or private insurance companies.
Initiates further action by following guidelines set forth in the Hospital Case Management Plan.Collaborates and communicates with the patient/resident, family, physician, and other health care providers.
Makes referrals, including provisions for continuity of care. Facilitates and coordinates placement of patients in appropriate long-term care facilities. Facilitates arrangements for acute transfer to other acute facilities when indicated.
Assists case management team with discharge planning services that can include coordination of equipment, home care, home health, and transportation services.
Assists patients with information and reviews Advance Directives. Participates in Continuum of Care rounds. Accumulates information on community resources and links patients, families and staff to appropriate services. Performs special audits/reports as required by the Case Management Team. Responsible for maintaining a safe workplace for the protection of the patient, staff and visitors. Meets OSHA and TJC standards for safety. Reviews appropriate sections of Environment of Care Manual and MSDS/Infection Control Manual annually. Has had a current TB skin test. Reviews and complies with department safety plan. Safety Test completed annually prior to annual evaluation. Attends Kaweah Health mandatory safety in-services. Displays attitude which supports Kaweah Health values and department efforts and teamwork.PROGRAM LIAISON FOR INPATIENT
REHABILITATION:
Assumes
responsibility for the implementation of each individual patient program. Assists the patient/family to become adequately oriented to their program. Enables the patient's program to proceed in an orderly, purposeful, and goal directed manner. Promotes the participation of the person served on an ongoing basis. Participates consistently in team conferences concerning the person served. Facilitates the exit/discharge process and arranged for follow-up and appropriate supportive services. Monitors the patient/family response to treatment and determines need for intervention and/or referral.
Additional
Participates in training of all newly hired Care Coordination staff. Assists the employee in the function of the department.
Evaluates for efficient use of financial and personnel resources and communicates alternatives to the RN and/or physician to maximize resource utilization.
Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area.
Pay Range
$ $37.92 If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.
#J-18808-Ljbffr
