Presbyterian Healthcare Services

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SUPERVISOR-INPATIENT UTILIZATION MANAGEMENT

at Presbyterian Healthcare Services

Posted: 2/22/2019
Job Status: Full Time
Job Reference #: 19627
Keywords: healthcare, health

Job Description

About Us

Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of eight hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.

 

Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.

 

We are part of New Mexico's history and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.

 

FTE: 1.0

Job Description 

Education:
Essential:
* Associate Degree

 

Credentials:
Essential:
* Registered Nurse-NM

 

QUALIFICATIONS:
Active NM Nursing License and 3 years of healthcare related experience required. BSN with active RN License preferred. Demonstrated management and leadership skills. Must have valid drivers license, clean driving record and ability to travel regionally

  

Summary:
Performs administrative leadership role in the training, coordination, and supervision of daily operational activities to ensure that departmental tasks are assigned and carried out. Oversight of teams includes developing & maintaining models for tracking of staff performance. Assists the Manager and Director to apply performance measurements and/or ensure that the level of care and services requested meet quality of care standards. Conducts direct departmental duties as needed

 

Responsibilities:
*Supervises daily workflow functions related to applicable departmental activities, including but not limited to the identification and screening for appropriateness of inpatient admissions, review of admissions utilizing MCG criteria and assistance with day to day operations of the IP UM team.
*Monitors staff workload and distributes work to meet timeliness of service.
*Trains staff in departmental application of benefits, processes, policies and procedures, and assist in training of computer activities.
*Performs departmental activities including but not limited to: Oversight of IP UM team, review of IP admissions, use of MCG criteria, Medical Director reviews and review of operational reports.
*Mentors staff in applicable principles and decision-making skills.
*Prepare reports as requested.
*Assist Manager and Director in compliance with regulatory requirements and participates as indicated in audits or surveys by accrediting or oversight agencies.
*Works with providers to educate and assist with applicable processes.
*May work with Manager and Director in review of cost analysis of medical expenses.
*Supports implementation of change projects/initiatives. Supports the development and implementation of the department strategic plan.
*Assigns and distributes on-call roster (if needed) to staff and other departments, i.e., member services, Administration.
*Acts as a resource for policies, procedures, and operational changes within the unit.
*Participates in selection, training, and orientation of new employees.
*Performs other functions as required.

 

Benefits

Benefits are effective day-one (for .45 FTE and above) and include:

  • Competitive salaries<\>

  • Full medical, dental and vision insurance<\>

  • Flexible spending accounts (FSAs)<\>

  • Free wellness programs<\>

  • Paid time off (PTO)<\>

  • Retirement plans, including matching employer contributions<\>

  • Continuing education and career development opportunities<\>

  • Life insurance and short/long term disability programs<\><\>

     

    About New Mexico

    New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich life>Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.

     

    Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.

     

    New Mexico offers endless recreational opportunities to explore, and enjoy an active life>

     

    AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.


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Application Instructions

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