Pediatric Utilization Review Jobs in Raleigh, NC

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Summary:
This position coordinates solid organ and bone marrow transplantation of pediatric and adult transplant recipients. This position provides care across the continuum from pre-transplant, during transplant and post transplant. This position plays a critical role in managing the complex processes of transplantation and other therapies. They act as a liaison between patients, medical teams and procurement organizations, ensuring smooth communication and coordination of care.
Responsibilities:
Patient Care Coordination
1. Coordinate with multidisciplinary teams to develop and implement an individualized plan of care for pre- and post-transplant patients.
2. Oversee and/or coordinate the clinical, psychological and financial needs of the patient.
3. Coordinate pre-procedure tests and consultations to determine transplant or therapy candidacy.
4. For solid organ transplants, manage the program's waiting list, including regular follow-up on patient status and coordinating organ offers.
5. Facilitate the transplant process by organizing the patient and the medical team.
6. Monitor inpatient status, discharge needs and post-transplant follow-up care.
7. Coordinate care across outpatient and inpatient settings.
8. Assess organ function and general health status, determining the need for additional assessment or intervention.
Education
1. Educate patients and their families about the transplant/ therapy process and what to expect during each phase.
2. Plan, acquire, or design educational materials and present educational programs to patients, staff, other professionals, the community and outside agencies.
3. Educate nurses and other multidisciplinary team members about transplant care to promote positive outcomes.
Regulatory Compliance/Quality Improvement
1. Document and maintain patient information in the electronic medical record with current data and required information to ensure regulatory compliance with Centers for Medicare & Medicaid Services (CMS), Organ Procurement and Transplantation Network (OPTN), Foundation for the Accreditation of Cellular Therapy (FACT) and/or Center for International Blood and Marrow Transplant Research (CIBMTR) guidelines as applicable.
2. Collaborate with transplant leadership in program planning.
3. Participate in the development, implementation, and evaluation of the program's Quality Assurance and Performance Improvement (QAPI) efforts.
4. Review patient resource utilization and identify areas for improvement.
5. Participate in the development and improvement of clinical workflows
Other Information
Other information:
Education Requirements:
• Bachelor's degree in Nursing (BSN) from a state-accredited school of professional nursing.
Licensure/Certification Requirements:
• Licensed to practice as a Registered Nurse in the state of North Carolina.
• Related certification may be required per individual department guidelines:
• For Solid Organ Transplant: Certified Clinical Transplant Coordinator (CCTC) is strongly encouraged within three years of hire.
• For Bone Marrow Transplant: Either Oncology Certified Nurse (OCN) or Transplantation and Cellular Therapy Certified Nurse (TCTCN) certification required within two years of hire.
Professional Experience Requirements:
• Minimum of 3 years of nursing experience in a clinical setting.
• Solid Organ Transplant: transplant and/or critical care experience preferred.
• Bone Marrow Transplant and Cellular Therapy Program: hematology/oncology experience preferred.
Knowledge/Skills/and Abilities Requirements:
• Excellent communication and interpersonal skills to effectively engage with patients and healthcare teams.
• Strong organizational ability, attention to detail and proficiency with electronic medical records.
Job Details
Legal Employer: STATE
Entity: UNC Medical Center
Organization Unit: Liver Post Transplant
Work Type: Full Time
Standard Hours Per Week: 40.00
Salary Range: $38.55 - $55.43 per hour (Hiring Range)
Pay offers are determined by experience and internal equity
Work Assignment Type: Hybrid
Work Schedule: Day Job
Location of Job: US:NC:Chapel Hill
Exempt From Overtime: Exempt: Yes
This is a State position employed by UNC Health Care System with UNC Health benefits. If, however, you are presently an employee of another North Carolina agency and currently participate in TSERS or the ORP, you will be eligible to continue participating in those plans at UNC Health.
Qualified applicants will be considered without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, status as a protected veteran or political affiliation.
UNC Health makes reasonable accommodations for applicants' and employees' religious practices and beliefs, as well as applicants and employees with disabilities. All interested applicants are invited to apply for career opportunities. Please email applicant.accommodations@unchealth.unc.edu if you need a reasonable accommodation to search and/or to apply for a career opportunity.