Raleigh General Hospital, southern West Virginia’s leading medical center, has served the city of Beckley and surrounding counties since 1921. The hospital offers a full range of services including Trauma, OB, Advanced Imaging Services, Lithotripsy, Cardiac Catheterization, Oncology, Sports Medicine and Rehabilitation. Additionally, we offer the following surgical services: General, Orthopedic, Vascular, Spinal, Gyn, ENT and Podiatric. For more information please visit: https://www.raleighgeneral.com/
Raleigh General Hospital
Responsible for the coordination and daily operations of the quality management process. Monitors care of patients within case groups to ensure high quality and cost effective care is provided. Works with other hospital personnel to assure appropriate and timely discharge planning.
Consults with nursing staff and multidisciplinary team regularly to evaluate patient's status andappropriateness of medical care, including admission, length of stay, transfer and discharge.
Monitors patient and family satisfaction. Responds to questions and complaints from patients, family members, and payors regarding care.
Participates in discharge planning including coordinating patient transfers to other facilities and coordinating community resources. Provides discharge education and resource referrals to patients.
Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
Reports to: Director of Case Management
Graduate of a Program in Discipline - Required Graduate from an accredited school of nursing. BSN preferred.
Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.
Certifications:Basic Life Support (BLS) - to be obtained within 30 days
Minimum Work Experience
Two years recent related clinical experience preferred in Utilization Review, Quality Improvement and Case Management preferred.
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LifePoint Health is committed to providing Equal Employment Opportunities for all applicants and employees and complies with all applicable laws prohibiting discrimination against any employee or applicant for employment because of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status or any other basis protected by applicable federal, state or local law.
"LifePoint Health" is a trade name used to refer to an organization of affiliated entities that own and operate hospitals and other healthcare providers in more than 80 communities. LifePoint Health, Inc. is a holding company only. It does not own or operate hospitals or healthcare providers and does not have any employees. When terms such as "LifePoint" or "LifePoint Health" or "we" or "us" are used herein, they refer to LifePoint Health, Inc. and its operating subsidiaries. When terms such as "hospital" or "provider" or "facility" are used herein, they refer to the hospitals or other healthcare providers that are wholly owned and operated by subsidiaries of LifePoint Health, Inc. Finally, when terms such as "LifePoint employees" or "our employees" are used herein, they refer to individuals employed by subsidiaries of LifePoint Health, Inc.