Froedtert Health

RN SNF UTILIZATION REVIEW, POST ACUTE CARE

Posted on

June 30, 2025

Job Type

Full-Time

Role Type

Utilization Review

License

RN

State License

Compact / Multi-State

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Company Description

The Froedtert & the Medical College of Wisconsin regional health network is a partnership between Froedtert Health and the Medical College of Wisconsin supporting a shared mission of patient care, innovation, medical research and education. Our health network operates eastern Wisconsin's only academic medical center and adult Level I Trauma center engaged in thousands of clinical trials and studies. The Froedtert & MCW health network, which includes ten hospitals, nearly 2,000 physicians and more than 45 health centers and clinics draw patients from throughout the Midwest and the nation.

Job Description

Requirements

EXPERIENCE DESCRIPTION: A minimum of 3 years of acute care nursing experience is required; Prior utilization management or case management experience is required. A minimum of 5 years of acute care nursing experience is preferred. Experience with Interqual, MCG care web QI or Indicia evidence based guidelines is strongly preferred. EDUCATION DESCRIPTION: Bachelor's Degree in Nursing is required. SPECIAL SKILLS DESCRIPTION: Knowledge of Medicare guidelines for skilled nursing needs. Knowledge of skilled nursing facilities care delivery model. LICENSURE DESCRIPTION: Requires current state of Wisconsin Registered Nurse License or a Multi-state Nursing License from a participating state in the NLC (Nurse Licensure Compact). MCG certification is preferred. Accredited Case Manager (ACM) or Certified Case Manager (CCM) certification preferred.

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Responsibilities

Assumes responsibility for assessing a patient's functional status upon skilled nursing facility admission and weekly to determine the optimal length of stay based on therapy goals, nursing care needs and other clinical factors directly related to the rehabilitation plan and aligns expectations of the skilled nursing facility multidisciplinary team, patient and families for discharge planning. Refers cases to the physician advisor consult as needed. Facilitates communication with the multidisciplinary team as it relates to the patient and identified treatment plan. Assure patients’ progress toward discharge goals and assists in resolving barriers. Engages with patients and families on identified recovery goals, length of stay and discharge planning activities initiated by the skilled nursing facility to support a successful transition of care. Works in accordance to established policies and procedures to ensure optimal patient outcomes. Has the ability to work with variable service lines and with multiple care teams. Other duties as assigned.

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