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Vacancies > Job Vacancy Announcement Detail
Job Vacancy Announcement Detail
| Employer: | Commonwealth Healthcare Corporation |
| DBA: | Commonwealth Healthcare Corporation |
| Address: | P.O. Box 500409 Saipan, Northern Mariana Islands 96950 Northern Mariana Islands |
| Phone: | 670-236-8204 |
| Other Number: | 670-236-8756 |
| Contact Commonwealth Healthcare Corporation via email | |
| Job Vacancy Announcement | JVA |
| JVA Type: | Renewal |
| Island | Saipan |
| FLSA Covered? | Yes, covered |
| DOD related? | No |
| PERM related? * | No |
| VEVRAA related? | No |
| Original Number of Openings: | 1 |
| Number of Openings Currently Available | 1 |
| Specific Worksite location: | Commonwealth Health Center |
| Job Classification: | Healthcare Practitioners and Technical Occupations |
| Job Title: | Utilization Review Case Manager |
| Announcement Number: | 18-05-60170 |
| Job Classification: | Healthcare Practitioners and Technical Occupations |
| Opening Date: | 5/14/2018 |
| Closing Date: | 5/29/2018 |
| Salary Range: | $39000 to $44000 / Annually |
| Job Title: | Utilization Review Case Manager |
| Job Duties: | Responsible for the Discharge Planning Program inclusive of all hospital units to ensure that the DC policies and procedures are implemented and followed accordingly. Evaluates patient medical records for accurate and complete documentation of medical necessity, treatment modalities and appropriate level of care. Determine medical necessity of hospitalization using evidenced based criteria. Identifies planning needs of patients and coordinates all disciplines to assure needs are met prior to discharge. Participate in discharge planning and transition of care. Participate in Hospital Quality Management Program. Participate in site certifications to meet regulatory standards and serves as member of monitoring team in periodic program reviews. Facilitate the Discharge Planning meetings with the Quality Improvement Organization (QIO) in collaboration with the home health agencies. Reviews continued stay appropriateness on inpatient records concurrently during patients hospital stay. Reviews inpatient medical records for discharge. Durable Medical Equipment is arranged/prepared prior to discharge to ensure continuity of care. Communicate to Utilization Review Coordinator any discrepancies in documentation of services. Write statistical and narrative reports to Utilization review Coordinator on outcome of audits of provider services, highlighting areas such as timeliness of provider denials, certified admissions and extensions, and administrative stays. Refer clients to appropriate local quality care resources. Use or operate an electronic health record system. Maintain a log of chart reviews and other tracking mechanism. In the absence of the Utilization Review Coordinator, must perform duties and responsibilities as delegated. Performs other related duties as assigned by URC and/or Director of CQPM. |
| High School Diploma Required? | Undetermined |
| Qualification Requirements: | Completion of an accredited medical professional program with a Bachelor’s Degree in Nursing, Biology, Public Health or other related field required. One to Five years post graduate nursing in an acute care hospital setting with one year utilization review or case management experience preferred. Must hold current CNMI license as Registered Nurse (NCLEX-RN) and BLS required. Possess strong communication, customer service, problem-solving and analytical skills. Familiarity in electronic health records system. Ability to develop automated high-level care plans that provide each patient with the “right care at the right time” and work closely and effectively with physicians, hospital staff, co-workers and patient/families or individuals from culturally and linguistically diverse backgrounds. Able to work independently with minimum supervision. Computer literate. |
| Full or Part Time: | Full Time |
| Hours per Week: | 40 |
| Hours per Day: | 8 |
| Payment Frequency: | Bi-Weekly |
| Overtime Available: | Yes |
| Overtime Rate: | $1.5 - $1.5 |
| Rate x 1.5 per hour Exempted: | Yes |
| Specify All Payroll Deductions: | CNMI Tax, Federal Tax, Medicare, and Social Security |
| Required tools, supplies and Equipment to be provided: | None |
| Anticipated starting date of employment: | 10/1/2018 |
| Anticipated closing date of employment: | 9/30/2019 |
| Housing Provided: | No |
| Food Provided: | No |
| Transportation required: | No |
| If transportation is required, daily transportation to and from the worksite(s) will be provided to the workers. Daily pick-up place(s) will be at: | None |
| Fringe Benefits: | Optional: Health Insurance, Life Insurance, Retirement Benefits, & PTO. |
| Comments: | All interested candidates must fill out a CHCC Employment Application (CHCC/HR-01) and submit it to the Office of Human Resources at the Commonwealth Healthcare Corporation. Application may be downloaded from www.chcc.gov.mp or picked up from our office located at the Commonwealth Health Center, Lower Navy Hill Road, Navy Hill. Any questions or concerns, feel free to contact us through email at humanresources@dph.gov.mp or via phone at (670)236-8729/ (670)236-8204. |