Job Description

Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures patient is progressing towards desired outcomes by monitoring care through assessments and/or patient records. Identifies and resolves barriers that hinder effective patient care. Actively involved in discharge planning process.

* Strong candidate identified

1. Works with Medical Director and appropriate physician(s) to establish Dartmouth-Hitchcock (D-H) ambulatory and inpatient procedure list, updates and maintains list.
2. Reviews reservation forms and the log of emergent and urgent admissions daily.
3. Identifies areas that require intervention and education around the use of definitions.
4. Reviews one day stays to assess appropriate use of level of care (LOC) determinations.
5. Works with individual physicians and office staff when they are experiencing discrepancies with pre-certifications.
6. Assumes responsibility for the oversight of inpatient denials, including, but not limited to, reviewing denial letters, collaborating with the Medical Director and appropriate physicians to determine the decision to appeal or accept, assisting in the response to Health Plan, etc.
7. Develops and implements communication strategies to keep clinicians and staff informed of changes and current practice.
8. Works closely with others to transition level of care determinations.
9. Provides information to departmental leadership that reflects trends and practices that may need organization, intervention, and change.
10. Collaborates with Health Plans to understand their definitions, articulates the definitions of D-H, and assists in the development of strategies for resolution of differences.
11. Benchmarks with other facilities concerning admission and denial experience and policies.
12. Performs other duties as required or assigned.

• Graduate from an accredited Nursing Program required.
• Bachelor of Science Degree in Nursing (BSN) with 3 years of experience.
• Masters of Science Degree in Nursing (MSN) preferred.
• Strong leadership, communication and computer skills desired.

Required Licensure/Certifications

- Licensed Registered nurse with NH eligibility

• Remote: Fully Remote
• Area of Interest: Nursing
• Pay Range: $79,747.20/Yr. - $127,587.20/Yr.
• FTE/Hours per pay period: 1.00 - 1.00 - 40 hrs/week
• Shift: Day
• Job ID: 32443

Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | DHMC and Clinics Careers

Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

There are so many reasons to join Dartmouth Hitchcock Medical Center and Clinics, members of  Dartmouth Health , the premiere health system in New England.

First and foremost are our people. No matter the role, you’ll find a shared purpose here. We have doctors ready to teach their knowledge, nurses who lead through experience, and other like-minded individuals collaborating for the health of the community, while inspiring each other day after day.

Career development

Affiliated with Dartmouth College, the atmosphere here is very collegial. You’ll discover educational and research opportunities around every corner. At Dartmouth Hitchcock Medical Center and Clinics, you never stop learning.

You’ll also appreciate the resources our wide-spread health care system provides. You’ll have access to experts at the top of their fields, advanced technologies, and modern facilities that enable you to care for patients like nowhere else.

Benefits and wellness

We offer a total compensation package that includes competitive health and wellness benefits. These benefits consist of "Core Benefits" that are provided by Dartmouth Hitchcock Medical Center and Clinics as well as "Benefit Choices" that allow you to select additional benefits to meet your personal situation and needs.

Our locations

New England is a very special place to live, work, and become part of a community. We have some of the most advanced educational institutions, best health care, and diverse cultural and recreational offerings you will find anywhere in the country. The public schools are excellent, the mountains are beautiful, and the lakes are pristine. No wonder so many people love it here.

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