Registered Nurse, (RN) Care Coordinator/UM UR Nurse

Registered Nurse, (RN) Care Coordinator/UM UR Nurse

South Campus

Who We Are:

People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. Frye Regional Medical Center includes a 355-bed acute care hospital and features a 32-bed Emergency Department, 29-bed Inpatient Rehabilitation Center, 15-bed Surgical Suite and Inpatient/Outpatient Imaging. Our South Campus is an 81-bed adult Behavioral Health Hospital.

Where We Are:

Hickory is the hub of the Metro Center area with over 365,000 people. Here you will find small town values with big city amenities, including arts, entertainment, and education. We are located about an hour from cities like Charlotte, Boone, Asheville and Winston-Salem so you can easily experience all the beauty that North Carolina has to offer.

Why Choose Us:

·         Health (Medical, Dental, Vision) and 401K Benefits for full-time employees

·         Competitive Paid Time Off / Extended Illness Bank package for full-time employees

·         Employee Assistance Program – mental, physical, and financial wellness assistance

·         Tuition Reimbursement/Assistance for qualified applicants

·         Professional Development and Growth Opportunities

·         And much more…

JOB SUMMARY

 In collaboration with Administration, Psychiatrists and direct care staff, provides utilization reviews with insurance providers for patients admitted to psychiatric inpatient services at South Campus.

Position Summary:

ESSENTIAL FUNCTIONS
• Performs daily admission reviews to determine medical necessity and appropriate level of care using
Interqual criteria.
• Collaborates with physicians to ensure orders are appropriate for the level of care indicated.
• Communicates any issues delaying discharge or authorization of stay to Director Actively seeks input from
staff and Social Worker on discharge planning or utilization issues and patient needs.
• Facilitates patient care conferences and ensures patient assignment boards are updated.
• Obtains and checks pertinent discharge list every morning and ensures discharge level of care is
documented on all assigned patients.
Assist with ensuring all Medicare recipients receive an Admission and Discharge Medicare Rights letter.

Minimum Qualifications:

Minimum Education

Associates degree in Nursing preferred Bachelors degree preferred

Current licensure as a Licensed Practical Nurse or Registered Nurse in the State of North Carolina

Two years hospital based clinical experience.

Experience in Case Management, Utilization Review and/or discharge planning, knowledge of Interqual and
other payer criteria preferred.

Must have excellent communication skills, demonstrate self-direction, and have the ability to work well in a
team environment.

EEOC Statement:

Frye Regional Medical Center is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.