Nurse Case Manager

2 weeks ago

St George, United States Intermountain Health Full time
R112151 locations St George Regional Hospital time type Full time posted on Posted 3 Days Ago job requisition id R112151 Job Description: The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost effective, extraordinary care. This position works collaboratively with patients, patient families/significant others, healthcare providers, insurers, community resources, and other involved parties. Posting Specifics Pay Range: $42.70-$61.93 Exempt ​Benefits Eligible: Medical, Dental, Vision, Education Assistance. Click here for more details FTE: Full time Shift: 40 hours per week Job Essentials Organizes and prioritizes daily work by assessing new, current, and discharging patient needs in area(s) of responsibility. Completes documentation as required. Performs utilization review activities to provide patient appropriate, timely, and cost effective care. Coordinates care with patient, care providers, hospital financial services, and third-party payers. Maintains an active role in denial prevention. Proactively intervenes with payers to prevent inpatient denials. Performs retroactive reviews on discharged patients as assigned. Communicates any necessary information to payers to help appeal existing denials. Uses level of care criteria to justify the patient's severity of illness and intensity of service. Reviews payer requirements and government regulations to ensure safe and cost-effective healthcare. Screens and coordinates the discharge planning process from patient admission to departure. Assesses patient needs, develops a discharge plan, and coordinates with internal and external services for care during and after the hospital stay Identifies patients with potential avoidable delays, extended stay, readmission, or discharge needs. Coordinates with care providers and leaders to reach optimal solutions. Educates, communicates, and coordinates with multiple patient care teams to ensure the patient receives quality care, a timely discharge, and to identify and resolve delays and issues. Minimum Requirements Current RN license for state in which the nurse practices. Three years of clinical nursing experience. RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion. Preferred Qualifications Bachelor's degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified. Case management Certification. Experience in Case management, Utilization review, and/or discharge planning. Physical Requirements: Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, etc. Anticipated job posting close date: 09/12/2024 Location: St George Regional Hospital Work City: Work State: Scheduled Weekly Hours: 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience.  We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment to diversity, equity, and inclusion. Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

           

  As the largest nonprofit health system in the Mountain West, Intermountain Health is dedicated to creating healthier communities and helping our patients and caregivers thrive.     It’s time to think of health in a whole new way, and by partnering with our patients and communities, providing expert care closer to home, and making great health more affordable, we can help more people get and stay well.  We proudly invest back into improving the care we deliver, and our pioneering research is making healthcare more personalized, effective, and affordable.   Serving patients and communities throughout the Mountain West, primarily in Colorado, Utah, Montana, Nevada, Idaho, and Wyoming, Intermountain includes 34 hospitals, 400+ clinics, a medical group, affiliate networks, homecare, telehealth, health insurance plans, and other services - along with wholly owned subsidiaries including Select Health, Castell, Tellica Imaging, and Classic Air Medical.    Our Caregiver Promise: Together, for the healthiest lives    We celebrate the different perspectives, backgrounds, experiences, and identities our caregivers bring to their work every day at Intermountain.  Across all areas of our integrated health system, we proudly share best practices, knowledge, and techniques to better serve our patients, communities, and each other.    Here, you’ll work alongside collaborative and curious minds who will support you, encourage you, inspire you, advocate for you, and challenge you to be your very best.    Our Values    Our value statements are core to our culture.  They reflect the behavior and attitudes that are important to us, are an agreement for how we treat each other, help us make decisions on how to act, and are a promise of what people can expect from us.    Our action-oriented values, inspired and shaped by our own caregivers, speak to what it means to be part of Intermountain. 
  • We are leaders in clinical excellence, delivering safe, best-in-quality care 
  • We believe in what we do, living our mission every day 
  • We serve with empathy, caring for each caregiver, patient, and member with compassion and respect 
  • We are partners in health, collaborating to keep people well 
  • We do the right thing, learning and acting with purpose 
  • We are better together, building community through teamwork and belonging

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