Job Description

Certification Details

• BLS

Job Details

• Utilization Review Nurse II represents the fully experienced level in utilization review and discharge planning activities.
• Obtains and evaluates medical records for in-patient admissions to determine if required documentation is present.
• Conducts on-going reviews and discusses care changes with attending physicians and others.
• Formulates and documents discharge plans.
• Provides on-going consultation and coordination with multiple services within the hospital to ensure efficient use of hospital resources.

Job Requirements

• Possession of a valid license as a Registered Nurse in the State of California.
• Two (2) years of experience or its equivalent as a registered nurse in an acute care hospital, at least one (1) of which was on a medical/surgical ward or unit.
• One (1) year of utilization review/discharge planning experience in an acute care hospital or as a Case Manager in an alternate medical setting such as a clinic or physician’s office performing utilization review or discharge planning.

Additional Details

• Incumbents may be required to possess and maintain specific certificates competency based on unit specific requirements as a condition of employment.
• Possession and maintenance of a current American Heart Association Healthcare Provider Basic Life Support (BLS) card.
• Appointees not possessing the BLS card must successfully complete appropriate training and qualify for the BLS card within 60 days of employment.

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