Job Description

Job: 18-55896
Location: Paul Rein Detention Facility, BR CO, FL, Pompano Beach
Facility: Paul Rein Detention Facility, BR CO
Shift: Day
Job Type: Regular Full-Time

Overview

Our UM Nurse will assist with analyses of medical necessity, level of care, care progression, and resource utilization.

Qualifications

Education:           

  • Graduation from an accredited School of Nursing

Experience:        

  • Previous experience working with utilization management
  • Computer data entry experience

Licenses/Certifications: 

  • Current licensure as a Registered Nurse

Responsibilities

  1. Utilizes nationally recognized evidence-based criteria to determine medical necessity of requested services, diagnostics, specialty care, or inpatient care.
  2. Refers provider requests when the requested services do not meet the recognized criteria.
  3. Coordinate with healthcare staff and providers to plan for discharge back to DOC institutions.
  4. Reviews information to determine the level of care or the medical necessity of any services requested by a provider.
  5. Reviews and audit inmate medical records to determine what services or procedures are medically necessary.
  6. The above responsibilities are a highlight of responsibilities and not a full list. Other responsibilities may be performed as assigned.


CCS is an EOE/Minorities/Females/Vet/Disability Employer



Application Instructions

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