Case Manager/Utilization Review/Discharge Coord

3 weeks ago

Medford, United States Asante Full time

Case Manager/Utilization Review/Discharge Coord

Additional Position Details: FTE: 1.000000 | Full Time | 1st Shift - Days | Will split time between the Behavioral Health Unit (0.3FTE) and Psychiatrics Care Unit (0.7FTE)

Salary is based on qualifications and years of relevant experience. Starting rate is $45.26/hr with a mid-range of $56.58/hr.

Position Summary

The role of Case Manager/Utilization Review/Discharge Coordinator requires carrying out the following key elements of case management for their assigned department: (1) admissions coordination and marketing, (2) internal case management: IRF-PAI data collection and coordination, utilization review and insurance authorization, and (3) discharge planning and coordination. Details on these responsibilities include:

  • Admissions Coordination: Screens referred patients for appropriateness of admissions and coordinates the admissions or denial process in collaboration with the leadership.
  • Case Management: Continuously reviews and coordinates length of stay according to PCU criteria, insurance status, and other resource utilization criteria. Works collaboratively with other team members in balancing length of stay and optimum outcome goals.
  • Utilization Review: Conducts utilization review, evaluates clinical information, and communicates findings to payors within the framework of contractual and government regulations.
  • Discharge Planning: Coordinate all aspects of the discharge process in collaboration with other team members, including working with downstream providers, insurers, and community resources.
Qualifications
  • Bachelor's in Nursing (BSN) or allied health field, preferred.
  • Minimum of 2 years progressive nursing experience in an acute care setting preferably within discharge, utilization, and/or case management - or the equivalent combination of education and/or experience, is required.
  • Registered Nurse (RN) licensed by the Oregon State Board of Nursing required upon start
  • CCM: Certified Case Manager preferred.
What We Offer
  • Progressive nursing pay - including earning more with a preferred department-designated specialty certification and/or your preferred degree
  • Comprehensive Total Rewards package including medical, dental, vision, wellness; retirement plan with up to a 6% employer contribution; and a generous paid time off policy that increases with years of service
  • Tuition Reimbursement Program
Why Asante

Asante is more than a great hospital system in an amazing location. We are a community of passionate providers and service-focused caregivers who collaborate to deliver amazing patient outcomes; a place where titles don't matter as much as your creativity, drive, and passion. Our culture, values and people create an environment of sustained medical excellence. For more on our story and award-winning health care, click HERE.

More About Asante and Southern Oregon

Asante is a locally-managed, nationally recognized top 15 health system. We are located in beautiful Southern Oregon and are the largest healthcare provider in nine counties. We provide comprehensive medical care to more than 580,000 people throughout southern Oregon and northern California. Our facilities employ over 5000 people and include Asante Ashland Community Hospital in Ashland, Asante Rogue Regional Medical Center in Medford, Asante Three Rivers Medical Center in Grants Pass, Asante Physician Partners, and additional healthcare partnerships throughout the region.

At Asante we believe that we are defined by our values - the traits that guide us as we serve patients and the community:

Excellence - Respect - Honesty - Service - Teamwork

Asante is an equal opportunity employer. We are committed to employ and advance in employment women, minorities, qualified individuals with disabilities and protected veterans.

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