RN-UM Case Manager

3 weeks ago


Bessemer, Alabama, United States UAB Medical West Full time
Job Summary

We are seeking a skilled RN-UM Case Manager to join our team at UAB Medical West. As a key member of our healthcare team, you will play a critical role in ensuring the efficient and effective management of patient care.

Key Responsibilities
  • Perform utilization management activities for all patients, ensuring that services are authorized and provided in a timely manner.
  • Communicate clinical details and criteria to patient insurance carriers, facilitating billing compliance and serving as a key hospital resource for knowledge of payer reimbursement guidelines.
  • Facilitate control of healthcare resources through ongoing assessment, monitoring, and evaluation of patient financial resource utilization.
  • Collaborate with healthcare teams to ensure seamless patient care and optimal outcomes.
Requirements
  • Associate Degree in Nursing (ADN) from an accredited institution.
  • Three (3) years recent nursing experience required.
  • Licensed as a Registered Nurse by the Alabama Board of Nursing.
  • BSN or Master's Degree in health-related field preferred.
  • American Heart Association BLS certification or obtain within 30 days of hire.

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