Remote Weekend Utilization Review Jobs in Milwaukee, WI

Summary
Work collaboratively and support the Rehab and Pain Management provider teams and other clinic staff to provide professional nursing care to patients. Provide patient and family health education and health assessment.
Primary Responsibilities

• Working within scope of license, develop and implement nursing plan of care for patients. Communicate the plan of care to patients as prescribed by physician: test results, scheduling of specialized tests and treatment modalities, prescription drug instructions and other patient education. Document treatment in medical record appropriately.

• Using the nursing process, triage patient concerns via telephone and provide nursing advice. Receive phone calls relating to appointments, urgent care, inpatient admissions, prescription refills and test results in accordance with clinic protocols and coordinate proper disposition of each.

• Obtain, review, verify and/or complete health care forms related to home health care, referrals, medical equipment and other patient/physician needs as appropriate. Assist with managed care authorization and complete insurance and medical forms for patients or assist patients in completing the forms.

• Help maintain patient flow and workflow. Work collaboratively as a team member of the clinic staff to provide a high quality and efficient service to patients and clinic. Maintain patient confidentiality.

• Other duties as assigned.

Knowledge - Skills - Abilities

• Strong leadership, team building and decision making capabilities.

• Has the ability to set priorities, identify and resolve problems and delegate effectively and efficiently.

• Excellent communication and organizational skills for managing workflow, patients, patient families, physicians and others under stressful conditions.

• Ability to assess and triage patients. Demonstrates reliability and maintains confidentiality.

Qualifications
Appropriate experience may be substituted for education on an equivalent basis.
Minimum Required Education: Associate's Degree in Nursing. Bachelor's Degree in Nursing preferred.
Minimum Required Experience: No experience required.
Preferred Experience: Previous clinic, doctor's office or urgent care experience preferred.
Required Certification/Licensure(s): Current Wisconsin RN License.
Physical Requirements
Work requires occasionally lifting moderate weight materials, standing, or walking continuously.
Work Environment
Little or no exposure to hazards such as dust, fumes, or extreme temperatures, airborne or blood borne pathogens, extreme temperatures, or allergens.
Sensory Acuity
Ability to detect and translate speech or other communication required. May occasionally require the ability to distinguish colors and perceive relative distances between objects.
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Why MCW?

• Outstanding Healthcare Coverage, including but not limited to Health, Vision, and Dental. Along with Flexible Spending options
• 403B Retirement Package
• Competitive Vacation and Paid Holidays offered
• Tuition Reimbursement
• Paid Parental Leave
• Employee & Family Assistance Program (EFAP)
• Pet Insurance
• On campus Fitness Facility, offering onsite classes
• Additional discounted rates on items such as: Select cell phone plans, local fitness facilities, Milwaukee recreation and entertainment etc.

For a brief overview of our benefits see: Benefits Overview
For a full list of positions see: MCW Careers
At MCW all of our endeavors, from our internal operations to our interactions with our partners, are driven by our shared organizational values: Caring - Collaborative - Curiosity - Inclusive - Integrity - Respect. We are committed to fostering an inclusive environment that values diversity in backgrounds, experiences, and perspectives through merit-based processes and in alignment with all applicable laws. We believe that embracing human differences is critical to realize our vision of a healthier world, and we recognize that a healthy and thriving community starts from within. Our values define who we are, what we stand for and how we conduct ourselves at MCW. If you believe in embracing individuality and working together according to these principles to improve health for all, then MCW is the place for you. For more information, please visit our institutional website.
MCW as an Equal Opportunity Employer and Commitment to Non-Discrimination:
The Medical College of Wisconsin (MCW) is an Equal Opportunity Employer. We are committed to fostering an inclusive community of outstanding faculty, staff, and students, as well as ensuring equal educational opportunity, employment, and access to services, programs, and activities, without regard to an individual's race, color, national origin, religion, age, disability, sex, gender identity/expression, sexual orientation, marital status, pregnancy, predisposing genetic characteristic, or military status. Employees, students, applicants or other members of the MCW community (including but not limited to vendors, visitors, and guests) may not be subjected to harassment that is prohibited by law or treated adversely or retaliated against based upon a protected characteristic.