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HERC: Metro New York & Southern Connecticut Utilization Management RN in New Haven, Connecticut

Employer Name: Yale University

  1. Performs physical assessments of patients, including triage duties and advises on treatment or course of action. 2. Identifies and evaluates nursing services problems and develops and implements appropriate programs and services, including assessing staffing needs and arranging coverage as needed. 3. Develops, implements, and manages nursing care plans in collaboration with physicians. 4. Instructs patients and families in proper treatment and advises patients on health maintenance and disease prevention. 5. Provides leadership, guidance, direction to clinical staff, and collaborates with nursing at all levels. 6. Determines standards for quality assurance and infection control procedures; trains staff in universal and isolation precautions in the area of infection control. 7. Performs diagnostic and therapeutic measures in collaboration with physicians. 8. Evaluates the quality and effectiveness of nursing practice and nursing services. 9. Records patients' medical histories and symptoms, performs diagnostic tests and analyzes results, operates medical machinery, administers treatment and medications, and coordinates with patient follow-up and rehabilitation; assures all procedures for maintaining patient confidentiality are maintained per HIPAA guidelines. 10. May perform other duties as assigned. Required Skill/ability 1: Strong clinical assessment and critical thinking skills. Excellent communication and interpersonal skills. Required Skill/ability 2: Capable of detailed understanding of the healthcare benefits package, identifying cases and situations in which clarification and timely decision making are needed. Experience in a healthcare setting with knowledge of insurance policies, clinical guidelines, and regulatory requirements. Required Skill/ability 3: Self-directed with the ability to work independently and consistently utilize a high level of initiative in order to manage work. Demonstrated ability to problem solve complex, multifaceted, emotionally charged situations. Required Skill/ability 4: Proficiency with electronic health records (EHR) and utilization management software. Ability to analyze data and generate reports. Required Skill/ability 5: Excellent relationship management skills and able to communicate effectively to all levels of the organization. Superior time management skills. Preferred Education: Master's Degree in Nursing or Healthcare Administration. Work Week: Standard (M-F equal number of hours per day) Posting Position Title: Registered Nurse 2 University Job Title: Utilization Management RN Preferred Education, Experience and Skills: Master's Degree in Nursing or Healthcare Administration. Bachelor's Degree in Nursing and two years' experience or an equivalent combination of education and experience.
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