RN Case Manager

4 weeks ago


Salt Lake, Utah, United States University of Utah Health Full time
Job Summary

We are seeking a highly skilled RN Case Manager to join our team at University of Utah Health. As a RN Case Manager, you will play a critical role in coordinating patient care and ensuring seamless transitions between healthcare settings.

Key Responsibilities
  • Coordinate case management process from patient's entry into the healthcare system to post-discharge, including outpatient settings.
  • Identify patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.
  • Monitor and document quality of care to ensure patient care plan goals are appropriate and that they are understood and implemented.
  • Facilitate cost-effective outcomes by determining appropriate level of care based on diagnosis, severity, intensity of services required, and other relevant criteria.
  • Negotiate with third-party payers relative to benefit levels, eligibility, utilization review, and reimbursement.
Requirements
  • Two years of professional experience in a clinically related area.
  • Current license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah.
Preferred Qualifications
  • Basic Life Support Health Care Provider card through American Heart Association.
  • A Certified Case Management designation.
Working Conditions and Physical Demands

This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment.


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