RN/Registered Nurse-Bilingual Inpatient Care Nurse Consultan - (US-OH-New Albany - 43054)

Minimum Education: Associate
Jobcode: 26051388
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POSITION SUMMARY The Nurse Consultant utilizes clinical skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options and services to facilitate appropriate inpatient healthcare management and effective discharge planning to improve the outcomes for members. More specifically, the inpatient care process includes: obtaining necessary information from providers and facilities concerning the care being provided to members; the assessment of a member's clinical condition and ongoing medical services and treatments to determine medical appropriateness; guide the setting for medical intervention to achieve optimum length of stay for members; the early identification of continuing care needs to facilitate discharge to the appropriate setting and discharge planning & coordination. Daily responsibilities will include administering enhanced health benefits in accordance with the medical policies; reviewing and evaluating clinical information to identify needed services; determining appropriate levels of care; making referrals to the Medical Director; proactively identifying referrals for discharge planning and alternative healthcare programs; interacting with members, members' families, physicians and other providers; using clinical skills as the basis for collaboratively assessing, planning; coordinating, monitoring and evaluating alternatives and promoting quality, cost effective outcomes for members.
Registered Nurse in Ohio Bilingual (English/Spanish) Educational requirements contained in this field supercede any educational requirements contained elsewhere in this job posting.