Clinical Review Specialist, RN

US-OK-Ponca City
Job ID
2017-1455
HealthBack Ponca City
Category
Nursing
Type
Regular Full-Time

Overview

Summary: This position is responsible for reviewing and evaluating assessments, orders, and assisting Clinical Supervisor, RN with daily clinical processing by performing the following duties.


Essential Duties and Responsibilities include the following. Other duties may be assigned.
• Assesses and evaluates cases, prepares and implements treatment and case management plans.
• Reviews documentation of history and physical assessment for assigned patients.
• Perform daily review of coordination notes of all clinical staff.
• Oversees coordination of care with physicians as patient needs arise.
• Prepares and maintains written case records, reports, and forms, performs case follow-up and closing, and performs other administrative tasks as required.
• Confers with health team members, individually and in conference to exchange, discuss and evaluate patient information for planning, modifying and coordinating treatment programs.
• Participates in quality improvement activities.
• Reviews patient education plan according to the individualized needs of the patient, as prescribed by physician and/or company policy including patient and family instruction.
• Participates in quality improvement activities.
• Observes nursing care and visits patients to ensure that nursing care is carried out as directed and treatment is administered in accordance with physician instructions.
• Reviews patient records noting significant conditions and reactions, notifies supervisor and/or physician of patient's condition and reaction to drugs, treatments, and significant incidents.
• Travel, including overnight travel, may be required.


RN license required.  COS-C preferred.

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