Remote Utilization Review Rn Jobs in Mukwonago, WI

Department:
01223 AMG WI Department of Digital Medicine - Virtual Practice Support
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
M-F 8a-5p (34 patient contact hours weekly including 6 hours admin per week)
Pay Range
$51.05 - $76.60
MAJOR RESPONSIBILITIES
Clinical responsibilities:
Assesses, diagnoses, and determines/alters treatment and management plans appropriate for age, acuity and clinical condition. This includes ordering, performing, and interpreting appropriate diagnostic studies and prescription of pharmacologic and non-pharmacologic interventions and therapies.
Manages conditions based on clinical indication, evidence-based care, cost effectiveness, and assessment of risks/benefits and alternatives.
Provides health promotion, disease prevention and disease management counseling and education of patients and families.
Manages patients as part of an interdisciplinary team and within scope of practice. Seeks physician or other healthcare team member consultation or referrals as appropriate. Escalates need for more emergent or specialized care when necessary.
Maintains accurate, complete, concise, and timely documentation in the electronic medical record. Substantiates and submits professional services consistent with compliant coding and billing practices.
Facilitates consistent, coordinated care and clear communication among all members of the healthcare team and/or health or community agencies.
Performs office or hospital procedures in accordance with specialty practice, competency and granted privileges (where applicable).
Other responsibilities:
Participates in quality, safety, and peer review initiatives/performance activities, organizational and/or departmental meetings and committees, peer review, and workgroups as necessary.
Participates in education and/or onboarding of new team members, students, and other health care professionals.
Seeks experiences to maintain and develop clinical and professional skills and advance the profession within and outside of the organization.
Maintains standards of productivity, access, face-to-face time, and quality metrics to ensure optimal, safe and timely patient care delivery.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.
MINIMUM EDUCATION AND EXPERIENCE REQUIRED
License/Registration/Certification Required:
Active RN, and APRN/APRN-FPA/APNP or other APRN license(s) in state(s) of practice, AND
Active national board certification in area of clinical practice and populations served, AND
Active DEA registration prior to hire, AND
If Illinois practice: active Illinois Controlled Substance License prior to hire, AND
Active BLS and/or ACLS, PALS, NRP as required by clinical practice prior to or within 6 months of hire
Education Required: Master's Degree in Nursing
Experience Required: No experience required
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED
Demonstrated high level of clinical proficiency, and excellent decision-making skills.
Demonstrated ability to work independently and as an effective member of a health care team.
Demonstrated ability to adapt to evolving technology and proficiency with the electronic medical record.
Excellent communication skills. Ability to effectively collaborate with and establish/build relationships with others.
Proven organizational skills and ability to prioritize effectively.
PHYSICAL REQUIREMENTS AND WORKING CONDITIONS
Must be able to stand, walk, bend, stoop, and twist continuously throughout the workday.
Must have functional speech, vision, touch, and hearing.
Must be able to:
Lift up to 50 lbs from floor to waist.
Lift up to 20 lbs over the head.
Carry up to 40 lbs a reasonable distance.
Operate all equipment necessary to perform the job.
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including:
Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
• Flexible Spending Accounts for eligible health care and dependent care expenses
• Family benefits such as adoption assistance and paid parental leave
• Defined contribution retirement plans with employer match and other financial wellness programs
• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.