Remote Utilization Review Rn Jobs in Pascagoula, MS

USA Health is Transforming Medicine along the Gulf Coast to care for the unique needs of our community. USA Health is changing how medical care, education, and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists, and researchers provides the region's most advanced medicine at multiple facilities, campuses, clinics, and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall well-being of our community.

• The Clinic RN Supervisor is a highly responsible and independent professional nurse working in an outpatient clinic setting to provide high-quality care to patients and provides direct on-site supervision to over 10 clinical staff (MA, LPN, RN) members
• Collaborates with the Clinical RN Manager or Chief Nursing Officer to align clinical efforts across the physician practices
• Provides clinical nursing assessment, support, counseling, and direct patient care in a physician's office setting
• Responsible for coordinating daily practice activities and ensuring adequate coverage and appropriate staffing as well as maintaining mandatory regulatory institutional policy and procedures under the direction of the Manager and/or Medical Director
• Participates with management in the development and initiation of practice-specific policies, protocols, and critical pathways
• Participates in direct patient care activities under the supervision of a provider or advanced practitioner
• Assesses health status by completing a nursing assessment
• Educates patients about medication and special diets, preparing, and administering medication as directed, symptom management, and providing additonal information related to community resources.
• The Clinic RN can send new or refills for prescriptions as directed, performs in office procedures within scope, assists with wound care and dressing changes as directed by overseeing provider, medication administration, in office spirometry, assist with administering screening questionnaires, venipuncture or point of care laboratory testing. hearing or vision screening, obtianing vital signs and additioanl in office testing as needed for the specialty.
• Inputs or assists with ordering all imaging, laboratory, surgery, procedural, and referral needs within the patient medical record using standing orders. Serves as primary role for completion of these orders and follow through for results or medical records for closure.
• Inputs or assists with ordering all imaging, laboratory, surgery, procedural, and referral needs within the patient medical record using standing orders. Serves as primary role for completion of these orders and follow through for results or medical records for closure.
• Contacts the pateint/caregiver/family for all results adn provides further education as directed by the ordering/overseeing provider. Documents all pateint interaction efficiently within the electronic medical record.
• The Clinic RN can start an IV and administer fluids as ordered by the overseeing provider.
• Performs telephone symptom triage and assessment. Uses standing orders and approved protocols to education and guide patients based on assessments.
• Uses standing orders and protocols to review pateint results and provide instruction under the direction of a phshcian or advanced practitioner.
• The Clinic RN will be responsible for reviewing all incoming results for urgency and abnormality and escalate the provider for immediate attention.
• Collaborates with care team to ensure smooth and effective transitions of care
• Prepares or supervises preparation of clinic rooms and equipment for use as well as supports supplies ordering by maintaining inventories and participate as directed.
• Assists with specialized diagnostic and therapeutic procedures
• Assists with specialized patient care equipment as required by the clinical department and medical specialty assigned
• Administers medications and treatments as ordered by provider and monitors patients for response
• Initiates CPR and other emergency measures per protocol
• Covers other nursing roles within the department
• Provides health education to patients and families
• Assists in preparation of the department-specific education for patients and colleagues
• Performs or delegates administrative duties such as understanding office computer applications, answering phones, welcoming patients, updating, and filing patient medical records, completing insurance forms, scheduling appoints and handling correspondence; arranges and schedules hospital admissions and other ancillary services and referrals to other providers
• Basic coding and filling of insurance forms and conducting preauthorization work and obtaining appropriate certifications
• Participates in quality initiatives, process improvements, and research activities to improve patient outcomes, patient experience, and patient safety
• Maintains professional growth and development in the nursing field and identified annual core competencies
• Maintains patient records
• Completes all mandatory department, educational and hospital requirements
• Adheres to current Infection Control and Safety Standards
• Regular and prompt attendance
• Ability to work schedule as defined and overtime as required
• Related duties as assigned

Employees must be in a regular position, working 20 hours or more per week (.50 FTE or greater) to qualify for benefits.

• Graduation from an accredited school of nursing meeting the minimum standards set by the state of Alabama and 2 years of professional nursing experience Required
• RN - Registered Nurse - State Licensure and/or Compact State Licensure in accordance with the Nurse Licensure Compact (NLC) for Alabama Upon Hire Required
• BCLS - Basic Life Support Upon Hire Required
• Comparable combination of education and experience may substitute for the above requirements.

The University of South Alabama is an Equal Opportunity Employer and does not discriminate on the basis of race, color, national origin, sex, pregnancy, sexual orientation, gender identity, gender expression, religion, age, genetic information, disability, protected veteran status or any other applicable legally protected basis. EO Employer – minorities/females/veterans/disabilities/sexual orientation/gender identity.

• Graduation from an accredited school of nursing meeting the minimum standards set by the state of Alabama and 2 years of professional nursing experience Required
• RN - Registered Nurse - State Licensure and/or Compact State Licensure in accordance with the Nurse Licensure Compact (NLC) for Alabama Upon Hire Required
• BCLS - Basic Life Support Upon Hire Required
• Comparable combination of education and experience may substitute for the above requirements.