RN Pre Job Description
RN pre
provides direct patient care, evaluates outcomes and adjusts nursing care processes as indicated to ensure optimal patient care.
RN Pre Duties & Responsibilities
To write an effective RN pre job description, begin by listing detailed duties, responsibilities and expectations. We have included RN pre job description templates that you can modify and use.
Sample responsibilities for this position include:
Assess patients’ condition after a surgery has been performed
Develop individualized care plans based on each individual patient’s condition
Monitor patients for condition changes and report any changes to the doctor
Conduct formal reviews and authorizations of assessments completed by multiple stakeholders
Conduct quality assurance audits of various staff practices to ensure compliance with policies and procedures
Collect, review and analyze data to ensure effective utilization of resources
Evaluate program effectiveness and delivery of services
Develop reports and reports findings / recommendations to the Quality Assurance Manager, management staff, other related staff and quality assurance committees
Developing reports and reports findings / recommendations to the Quality Assurance Manager, management staff, other related staff and quality assurance committees
Enter acute medical hospitalizations electronically
RN Pre Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for RN Pre
List any licenses or certifications required by the position: BLS, ACLS, PALS, NRP, JPS, CAPA, CPAN, BCLS, ACLA
Education for RN Pre
Typically a job would require a certain level of education.
Employers hiring for the RN pre job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Nursing, Education, Graduate, School of Nursing, Associates, Science, Associate Degrees, Nursing Program, Patient Care, Teaching
Skills for RN Pre
Desired skills for RN pre include:
Contraindications and patient preparation
Direct patient care and critical care procedures and techniques
Exam indicators
Responses to ensure optimal patient care
Tools
Patient and the family
Condition
Universal precautions
Nursing care methods and procedures
ECG monitoring
Desired experience for RN pre includes:
Utilize policies, Interqual and Milliman criteria against clinical information received to determine medical necessity
Find PAR providers for members requiring specialty consultation
Work with the Medical Director on case denials and expedited cases
Contact a number of stakeholders telephonically (Physician, Members, Facilities)
Create letters of approval to facilities/providers/members
Contribute to the overall success of Total Population Health by promoting /advancing the department mission of effectively facilitating care and improving outcomes at all points along the health care continuum, from preventive health and wellness through chronic care management to end of life care in all health care settings
RN Pre Examples
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RN Pre Job Description
Job Description Example
Our growing company is looking to fill the role of RN pre. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN pre
- Act as a coach and mentor to staff to ensure compliance with the company, State, Federal and NCQA requirements related to utilization and care management activities
- Develop, monitor, and communicate performance expectations and plans for all direct reports and conduct performance reviews within specified timeframe
- Complete monthly telephone audits of staff using Virtual Observer technology and provides feedback to staff
- Track and report statistics on care management and/or utilization management activities, process measures
- Facilitate the staff’s engagement with provider collaboration arrangements and other Physician organizations in the management of their attributed members
- Maintain an environment of quality improvement through continuous evaluation of processes and policies
- Interact with various departments throughout the company and contribute to the resolution of interdepartmental issues
- Manage patients’ admission processes to preoperative department
- Assess the status of patients’ health in pre-op and ensure accuracy of identification wristband
- Ensure that operative and informed consents are in order
Qualifications for RN pre
- Minimum of 2 years experience in Pre-Op/PACU, ER, OR ICU
- Minimum of 2 years experience in Pre-Op/PACU ALso Pre admission skills
- Minimum of 2 years experience in Pre-Op/PACU preferred
- Minimum of 2 years experience in Pre-Op/PACU or critical care experience
- Previous experience working in an ambulatory surgical setting preferred
- Current CA Nursing License
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RN Pre Job Description
Job Description Example
Our growing company is hiring for a RN pre. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN pre
- Take and record vital statistics of patients to ensure readiness for surgical procedure
- Initiate IVs and ensure that patients are informed about the procedure and attending medical staff
- Manage blood and fluid transfusions and draw specimens
- Ensure that the post operative space is clean and sanitized
- Change bandages and dress surgical wounds
- Performs clinical utilization review to determine medical appropriateness and cost-effectiveness of requested healthcare services
- Develops and creates clinical criteria and authorization guidelines through literature reviews and related research
- Using the nursing process, develops individualized and coordinate plans, implementing nursing interventions to achieve optimal patient outcomes
- Demonstrates through knowledge and understanding of the principles of surgical asepsis/aseptic techniques
- Demonstrates knowledge and skill to provide care and age-specific patient population
Qualifications for RN pre
- Preferred Minimum of 2 years experience in Pre-Op/PACU, but willing to teach
- Preferred Minimum of 2 years experience in Pre-Op/PACU
- Minimum of 2 years experience in Pre-Op/PACU preferable
- Minimum of 2 years experience in Pre-Op/PACU or ICU
- Minimum of two years preoperative experience preferred
- Minimum of 2 years experience in Pre-Op/PACU or ED/ICU
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RN Pre Job Description
Job Description Example
Our company is searching for experienced candidates for the position of RN pre. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for RN pre
- Demonstrates defined practice standards for infection prevention and follows approved standards for documentation
- Reports directly to the Director of Surgery
- Manage patients’ admission processes to preoperative department in a hospital
- Provides leadership to and is accountable for the performance and direction through multiple layers of management and senior professional staff
- Directs and assists others to resolve business problems that affect multiple functions or disciplines
- Responsible for the management and assignment of caseloads, clinical audits, performance evaluations and disciplinary actions as needed
- Develops and implements the organizations Health Services plan in accordance with mission and strategic goals of the organization, federal and state law regulations and accreditation standards
- Develops and implements systems for all utilization management policies and procedures including prospective, concurrent and retroactive case review, clinical practice guidelines, clinical protocols, reporting quality of care issues identified during the utilization review process
- Hires and educates staff and business associates as to the clinical model plan and respective responsibilities relative to the plan/department
- Collects, analyzes and maintains data on the utilization of medical services and resourcing ensuring quality across the department
Qualifications for RN pre
- 12 months of nursing experience but new to specialty of hire required
- 1 year experience in Pre-OP preferred, but not required
- Current BLS, ACLS, PALS required
- Strong knowledge base relative to surgical procedures and management of the surgical patient
- Firm grasp of principles of aseptic technique and their implementation
- Participation in rotational call system as assigned
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RN Pre Job Description
Job Description Example
Our innovative and growing company is looking for a RN pre. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for RN pre
- Prepares and presents utilization management summaries and reports to identifying potential areas of improvement
- Reports quality of care issues identified during utilization review process according to company policy and procedure
- Actively participates or facilitates selected committees such as Utilization Management
- Develops and supports implementation of overall strategic plan and development in order to achieve health plan financial and organizational goals
- Achieves stated utilization management services targets for quality, utilization and staffing
- Develops and establishes necessary operational infrastructure to support the UM/QI program within established benchmarks and model requirements
- Communicates, collaborates and assures cooperation with network and community physicians, hospital leaders, providers and other vendors regarding care coordination and access to quality, cost effective utilization management service
- Interacts with Contracting and Provider Relations to ensure coordinated approach and support for each department's initiatives and communicates consistent messages in all interactions
- Monitors utilization frequency, quality and financial reports to identify changes in access patterns, trends or overall quality in the healthcare of plan membership
- Adopts and shares best practices with clinical leaders with the HMO/PPO network
Qualifications for RN pre
- Previous experience working in a fast paced multi-specialty ambulatory surgical setting preferred including but not limited to ophthalmology, ENT, general, gyn, orthopedics, urology, podiatry, and plastics
- 1 year experience within a perioperative program required
- Current BLS, ACLS and PALS or in Learning Plan
- Minimum of 2 years experience in Pre-Op/PACU, ICU, Med/Surg, Hospital, or GI
- Med Surg Exp ok/Needs strong Computer Skills/ Time management and IV skills)
- Minimum of 2 years experience in Pre-Op/PAT
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RN Pre Job Description
Job Description Example
Our company is looking for a RN pre. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for RN pre
- Facilitates Medical Director and care coordination and problem solving
- Ensures regular team meetings are conducted for communication and feedback, staff training and development, sharing of program results and collaborative problem solving
- Is available and accessible to staff, network providers for care coordination and serves as a resource to support utilization management in conducting reviews and implementing appropriate follow up interventions
- Provides direction, advice and assistance in areas of policy and procedure, and efficiency of Health Services to the delegated network Health Managers and Directors
- Focus the pre-certification and concurrent review processes and ensure the processes are efficient
- Implement an explicit process for managing denials and notification requirements along with clinical claims reviews
- Responsible for ensuring that all precertification determinations are compliant with CMS guidelines including meeting turnaround times, documentation and notification requirements
- Supports implementation of overall strategic plan and development in order to achieve health plan financial and organizational goals
- Achieves stated health services targets for quality, utilization and staffing
- Monitors utilization frequency, quality and financial reports to identify changes in access patters, trends or overall quality in the healthcare of plan membership
Qualifications for RN pre
- Pre-Authorization and/or Utilization Review background
- 2+ years of Managed Car experience
- Strong knowledge of surgical procedures
- Ability to assess patients completely
- Identifies trends and evaluates Medical Management assigned staff
- RN with current, unrestricted clinical Texas licensure with at least five years nursing experience in an acute care setting