Utilization Review Nurse
Job Title: Utilization Review - Post Acute Care
Job Description
Our PAC Nurse is a telephonic role responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTAC), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities. The PAC Nurse will collaborate with key facility personnel and internal Medical Directors, Market Engagement Directors and Nurse Managers to develop and maintain a timely discharge plan. This role involves working closely with the PAC Medical Director in care planning, goal setting, and reviewing discharge plans. The PAC Nurse will also act as a clinical resource for unlicensed Post-Acute Care Coordinators and will be the primary contact to the post-acute facility or facilities.
Hard Skills
This is a Contract-to-Hire position with a duration of 12 Month(s).
Work Site
This is a fully remote position.
Work Environment
Post Training, the schedules are Sunday to Thursday 11am to 8pm EST or Tuesday to Saturday 11am to 8pm EST.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
Job Description
Our PAC Nurse is a telephonic role responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTAC), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities. The PAC Nurse will collaborate with key facility personnel and internal Medical Directors, Market Engagement Directors and Nurse Managers to develop and maintain a timely discharge plan. This role involves working closely with the PAC Medical Director in care planning, goal setting, and reviewing discharge plans. The PAC Nurse will also act as a clinical resource for unlicensed Post-Acute Care Coordinators and will be the primary contact to the post-acute facility or facilities.
Hard Skills
- Discharge planning
- Transition of care management
- Length of stay management
- Clinical expertise for unlicensed Post-Acute Care Coordinators
- Excellent negotiation, influencing, problem solving and decision making skills
- Excellent communication (verbal/written), organizational and interpersonal skills
- Ability to work independently, utilizing sound clinical judgment and critical thinking skills under minimal supervision
- Strong commitment to quality and standards
This is a Contract-to-Hire position with a duration of 12 Month(s).
Work Site
This is a fully remote position.
Work Environment
Post Training, the schedules are Sunday to Thursday 11am to 8pm EST or Tuesday to Saturday 11am to 8pm EST.
About Actalent
Actalent is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, Actalent serves many of the Fortune 500.
Diversity, Equity & Inclusion
At Actalent, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:
- Hiring diverse talent
- Maintaining an inclusive environment through persistent self-reflection
- Building a culture of care, engagement, and recognition with clear outcomes
- Ensuring growth opportunities for our people
If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email actalentaccommodation@actalentservices.com for other accommodation options.
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Seniority level
Entry level -
Employment type
Contract -
Job function
Health Care Provider -
Industries
Business Consulting and Services
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