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Registered Nurse | Utilization Review | Day shift

Macon, GA, United States
Job ID: 25551
Job Family: Nursing
Status: Full Time
Shift: Day
Shift Details: Regular
Department Name: 12011053141601-Patient Access
Location: 0200


The Acute Care Navigator coordinates and supports the providers and multidisciplinary team in facilitating patient care, providing ongoing care management services during an acute-care admission as well as continued follow up with the objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care.  The Care Navigator also provides utilization management, clinical documentation integrity, discharge planning and post-acute care needs assessment and acts as a liaison for utilization management and clinical documentation improvement. The Care Navigator is accountable for designated unit-based patient cases and plans effectively in order to meet patient needs, manage the length of stay via monitoring and coordination of care pathways and promote efficient utilization of resources.    


What you will need: 

  • Associate's degree in nursing, BSN preferred. 

  • Licensed as a Registered Nurse in the state of Georgia. 

  • Three (3) years acute care nursing experience in an acute care hospital, preferably with ICU and/or Medical/Surgical experience. 

  • Certified Clinical Documentation Specialist  (CCDS) and/or Certified Coding Specialist (CCS) preferred. 

  • Working knowledge and experience in ICD10 Diagnosis and Procedure Coding, Common Procedural Terminology (CPT) coding knowledge preferred.