Utilization Review Registered Nurse

Paradigm Healthcare at The Pines would love to team up and grow with you! We are seeking a motivated LVN or RN to join our team as a Utilization Review Registered Nurse You deserve good pay. You deserve good benefits. You deserve to work in a place where your voice matters. If you agree, Brazos is the place for you! Job Duties Maintain the current MDS status of each resident, in accordance with applicable federal and state laws, rules, and regulations as well as the facility's policies and procedures Schedule residents for appropriate OBRA, Medicare PPS, and/or Medicaid required assessments and communicate the schedule to all other departments and families, as required Monitor clinical systems for changes in resident condition that may affect the MDS process and scheduling and respond to changes in resident's condition by coordinating MDS reassessment and re-evaluation of the plan of care Strategically set assessment reference date (ARD), in conjunction with the interdisciplinary team, to capture needs, care, and services delivered to most accurately reflect the status of the resident Complete sections of MDS and CAAs accurately in accordance with policies, procedures, and guidelines Coordinate and attend daily Casemix Meetings, weekly Utilization Review Meetings, and monthly Triple Check Meetings Maintain assessments on the active clinical record for a minimum period of 15 months per Federal Regulations Electronically transmit MDS data to the state in accordance with regulation and facility standards, policies, and procedures Have knowledge of and utilize the facility's written policies and procedures that govern the day-to-day functions of the nursing service department Participate in facility surveys (inspections) made by authorized government agencies as necessary or as may be directed Participate in developing, evaluating, revising, and implementing a plan of care for each resident to achieve and maintain the highest practicable level of wellbeing possible. Report any known or suspected unauthorized attempt to access the facility's information system Provide education to residents/families/caregivers when the need arises, or as directed by Administration and/or physician Required Education and Experience Must possess a current, unencumbered, active license to practice as a Licensed Vocational Nurse or Registered Nurse in the State A Registered Nurse License is preferred. 2 years' experience in Long-Term Care experience preferred. Six (6) months of experience in rehabilitative and restorative nursing practices preferred. 2 years' experience in RAI process completion preferred. Must possess the ability to make independent decisions when circumstances warrant such action. Must be able to demonstrate leadership, organizational skills, and maintain a positive and professional attitude. Strong utilization knowledge of Point Click Care, preferred. Computer literacy skills (Microsoft Outlook, Microsoft Office, Internet). Ability to work well under pressure, meet deadlines and handle multiple tasks simultaneously. Required Skills Excellent written and verbal communication skills Demonstrate leadership, organizational skills, and ability to maintain a positive and professional attitude Ability to work well under pressure, meet deadlines, and handle multiple tasks simultaneously Display attention to detail Interact with residents, families, and the community in a professional manner Ability to engage in active listening (giving full attention to those speaking), critical thinking (using logic and reasoning to identify strengths/weaknesses of alternative solutions), and active learning (understanding implications of new information during problem-solving situations) Exceptional judgment and active foresight Self-motivated and self-directed

Job Type:

Full-time Pay:

$35.00 - $43.00 per hour

Benefits:

Dental insurance Health insurance Paid time off Vision insurance

Work Location:

In person