"Resource Utilization Coor - Outcome Management"

Job Details

Title: Resource Utilization Coor - Outcome Management

Department Org: Outcome Management - 110040

Employee Classification: B5 - Unclass Full Time AFSCME HSC

Bargaining Unit: AFSCME HSC

Primary Location: HSC H

Shift: 1

Start Time: 7:00 am End Time: 5:30 pm

Posted Salary: $ 32.81 - $ 42.58

Float: True

Rotate: True

On Call: True

Travel: False

Weekend/Holiday: True

Job Description:

Responsible for coordinating the clinical care of patients by assessing, planning, and facilitating progression through the plan of care. Responsible for the collection of clinical information to determine medical necessity for admission and continued hospitalization. Reviews and monitors utilization of resources throughout the stay. Functions to ensure optimal clinical and financial outcome, as well as optimal patient satisfaction. Serves as a catalyst to challenge current practices and streamline delivery of services. Demonstrates professional interpersonal skills in dealing with patients, families, physicians, other staff and the community

Minimum Qualifications:

• Active Registered Nurse (RN) license in the state of Ohio is required.
• Bachelor of Science in Nursing (BSN) is required.
  • Alternatively, a Master of Science in Nursing (MSN) may be accepted in lieu of a BSN.
  • In place of a degree, a minimum of 5 years of relevant experience in case management, utilization review, and/or clinical documentation is required
• Current Basic Life Support (BLS) certification is required.
• Minimum of 3 years of clinical nursing experience in an acute care hospital or behavioral health setting.
  • Must have documented expertise in one or both of these settings.
• Able to work flexible hours; may be required to rotate shifts and work weekends and holidays.
• Competent in computer skills (Word, Excel, Internet and e-mail) required.
• Previous case management, utilization review, clinical documentation, and/or behavioral health experience preferred.
• Physical requirements:
  • visual acuity of 20/20 or corrected to 20/20 including color vision when applicable;
  • ability to hear (with or without aides)
  • ability to orally communicate
  • good manual dexterity
  • ability to push, pull, roll, and transfer/lift 50 pounds occasionally
  • ability to stand, walk frequently
  • ability to bend, reach, stoop, kneel frequently; and
  • ability to perform CPR

Conditions of Employment:

To promote the highest levels of health and well-being, the University of Toledo campuses are tobacco-free. Pre-employment health screening requirements for the University of Toledo Health Science Campus Medical Center will include drug and other required health screenings for the position.