RN-Status Review Specialist

It's more than a career, it's a calling

Job Highlights:

Job Summary:

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Reviews electronic medical record and screens clinical information with nationally recognized criteria. 
• Communicates with physicians regarding patient admission status. 
• Reviews Medicare beneficiary short stay hospital admissions. 
• Collaborates with attending physician and case managers regarding Condition Code 44 accounts.  
• Reviews inpatient admissions changed to outpatient for possible Condition Code 44 criteria. 
• Identifies and escalates barriers/gaps to leader of department. 
• Participates with other members of team regarding opportunities for improvement in standard work. 
• Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's scope of service. 
• Performs other duties as assigned. 

EDUCATION

• Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

• Two years' acute care experience

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS 
 
State of Work Location: Illinois 

•     Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) 

     
State of Work Location: Missouri 

•     Registered Nurse (RN) Issued by Compact State  
•     Or 
•     Registered Nurse (RN) - Missouri Division of Professional Registration 

 
State of Work Location: Oklahoma 

•     Registered Nurse (RN) Issued by Compact State  
•     Or 
•     Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) 

     
State of Work Location: Wisconsin 

•     Registered Nurse (RN) Issued by Compact State  
•     Or 
•     Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopte