Clinical Evaluator

Intensive Specialty Hospital -

Intensive Specialty Hospital is a Long-Term Acute Care (LTAC) hospital. We provide cardiopulmonary care, ventilator and respiratory care, complex wound care, rehabilitation therapies, addiction medicine program, geriatric psychiatry program, multidisciplinary pain program, and outpatient counseling program. With four locations in Shreveport and Bossier City, we will be the largest provider of LTAC services in Northwest Louisiana.

Working at a LTAC facility like Intensive Specialty Hospital is a GREAT OPPORTUNITY to encounter a variety of patients and develop exceptional skills to be a part of our committed TEAM.

The Clinical Evaluator is responsible for collecting and evaluating clinical information and assists in the determination of appropriateness for admission to the facility based on independent discretion and knowledge of InterQual criteria. In addition, he/she evaluates and communicates special needs, potentially high-risk cases, physician and/or insurance objectives, and patient/family dynamics and expectations to the Director of Case Management and Nursing Management.

QUALIFICATIONS:

• Current state license as either a Registered Nurse, Licensed Practical Nurse, Respiratory Therapist or Physical Therapist
• Two or more years of hospital clinical experience, preferably in an acute care setting
• Ability to collect clinical information and apply criteria for potential admission including estimated length of stay, patient/family expectations, and discharge plans
• Strong medical assessment skills
• Experience in commercial insurance, Medicare and Medicaid reimbursements is preferred
• Experience in in-service education and public speaking
• Experience in Utilization Review and/or Case Management
• Understanding of InterQual and LTACH criteria for admissions and continued stays
• Must have a valid driver’s license and a clean motor vehicle record, as well as carry applicable insurance as required by state la
• Must be able to read, write, and speak English, Bilingual desired

(ISH123)