Utilization Review Rn Jobs in Greenville, SC (NOW HIRING)

Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.

• Collects data and completes nursing assessment utilizing appropriate area and/or age specific standards/policies and tools. Completes appropriate forms. Assesses and recognizes subtle or actual changes in patients' status and patient response to intervention.

• Identifies nursing priorities for patient plan of care based on nursing assessment (and other data as appropriate).Validates these priorities with healthcare team members and documents appropriate.

• Develops an individual plan of care based on the age and assessed needs of the patient. Develops the plan incollaboration with the patient and/or family, the physician, and other members of the interdisciplinary health care team. Updates the plan based on changes in the patient's condition and communicates changes in the plan to other members of the team.

• Identifies realistic and measurable goals and outcomes to be attained prior to discharge. Validates these with thepatient and/or family.

• Demonstrates respect for the patient's/family's cultural, spiritual, and belief system in planning for care.

• Includes planning for discharge to assure continuity of care and a smooth transition post discharge from one level of care to another (to include appropriate referrals).

• Provides direct care to assigned patients consistent with the established nursing plan. Performs specific tasks based on organizational, departmental and/or unit policies and procedures within the RN scope of practice.

• Delegates nursing tasks as appropriate to members of the healthcare team, developing written assignments (if appropriate) and ensures completion of assigned tasks.

• Monitors quality of care delivered on a continual basis; ensures appropriate surveillance of assigned patients.

• Provides care based on patient and unit priorities, coordinating and organizing tasks as appropriate, utilizing known resources internal and external to the unit. Incorporates cost containment principles into nursing care.

• Assumes responsibility for patient safety by maintaining a safe environment to include awareness of safetyprocedures, protocols and adherence to patient care standards.

• Utilizes appropriate technology in daily practice.

• Utilizes performance indicators to collect data, monitor quality and effectiveness while providing nursing care. Completes assigned hospital/unit performance improvement monitoring (audits).

• Evaluates nursing plan of care for effectiveness and determines progress toward expected outcomes. Revisesdiagnosis, outcomes and plan of care based on evaluation of data. Reports changes in patient status and refersunresolved problems to appropriate health team members. Discusses outcomes with peers via shift-to-shift report and with other healthcare team members as appropriate.

• Evaluates opportunities for quality improvement and based upon evaluation, incorporates PI recommendation into nursing plan of care as appropriate.

• Identifies/assesses patient/family learning needs and teaches accordingly by using language and terminology that the patient/family is familiar with providing examples to clarify ideas, implementing and evaluating teaching plan (encourages patient/familyinvolvement/participation) Micromedex utilization, computer resources

• Communicates the patient/family's need for education/teaching to others in the healthcare continuum.

• Evaluates own nursing practice in relation to professional practice standard guidelines, state statutes, family policies, procedures, rules and regulations and current specific knowledge. Maintains competency through education andprofessional activities. Reflects on identified areas of strength that offer opportunity for improvement.

• Performs other duties as assigned.

Supervisory/Management Responsibilities

• This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

• Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred.

• Experience - One year experience as a registered nurse.

In Lieu Of

• In lieu of One (1) year of registered nurse experience, will accept successful completion of the Prisma Health Nurse Residency Program or successful completion of a comparable residency from another organization. One (1) year psychiatric/behavioral health nursing experiencepreferred

Required Certifications, Registrations, Licenses

• Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.

Knowledge, Skills and Abilities

• NA