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Job Vacancy Announcement Detail

Employer: Commonwealth Healthcare Corporation
DBA: Commonwealth Healthcare Corporation
Address: P.O. Box 500409 CK
Saipan, Northern Mariana Islands
96950 United States
Phone: 670-236-8729
Contact Commonwealth Healthcare Corporation via email

Job Vacancy Announcement JVA
JVA Type: New
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: Saipan
Job Classification: Healthcare Practitioners and Technical Occupations
Job Title: Utilization Review Nurse
Announcement Number: 21-09-92789
Job Classification: Healthcare Practitioners and Technical Occupations
Opening Date: 9/20/2021
Closing Date: 10/11/2021
Salary Range: $21.83 to $22.19 / Hourly
Job Title: Utilization Review Nurse
Job Duties: Responsible for facilitating the Discharge Planning (DC) 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 evidence-based criteria. Identifies planning needs of patients and coordinates all disciplines to assure needs are met prior to discharge. Participate in monthly 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. Reviews continued stay appropriateness on inpatient records concurrently during patient's hospital stay. Reviews discrepancies in documentation of services. Develops statistical and narrative reports to be shared with Utilization Review Program Manager on outcome of audits of provider services, highlighting areas such as timeliness of provider denials, certified admissions and extensions, and administrative stays. use or operate an electronic health record system. Maintain a log of chart reviews for tracking. In absence of the Utilization Review Program Manager, must perform duties and responsibilities as delegated. Performs other related duties as assigned by Utilization Review Program Manager and/or Director of CQPM.
High School Diploma Required? Yes
Qualification Requirements: Associate's Degree in Nursing from a recognized/accredited school of Nursing or foreign equivalent. Three (3) years work experience in acute care hospital setting or Utilization Review Department. Must hold current CNMI license as Registered Nurse (NCLEX-RN) and BLS required.
Full or Part Time: Full Time
Hours per Week: 40
Hours per Day: 8
Payment Frequency: Bi-weekly
Overtime Available: No
Overtime Rate: $0 - $0
Rate x 1.5 per hour Exempted: No
Specify All Payroll Deductions: CNMI Tax, Federal Tax, Medicare and Social Security
Required tools, supplies and Equipment to be provided: PC, Laptop, Printer and basic office supply or equipment.
Anticipated starting date of employment: 12/21/2021
Anticipated closing date of employment: 12/20/2022
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: Paid time off & holidays. Optional-medical & dental insurance, life insurance, 401k retirement plan.
Comments: Job vacancy announcements are posted externally at the CNMI Department of Labor's (DOL) official website; and internally at the employer's official website to individuals who are interested in applying for certain positions. Applicants are also encouraged to apply in-person, through CNMI DOL JVA website, employer's official website, telephone inquiries at (670) 236-8202/8205/8210/8729; 234-8950 ext. 3580; 3581; 3583 or at e-mail address; 3RNet global website or job fairs in which the employer participates in (if any). The employer's Human Resources Office is open from Mondays through Fridays, 7:30 AM to 4:30 PM and CLOSED on weekends/holidays. Employment Application forms will be available 24/7 at the employer's hospital facility’s Main Cashier Office (entrance/exit point for all).