Senior Healthcare Coordinator

4 days ago


Salt Lake, Utah, United States Intermountain Health Full time
Overview

At Intermountain Health, we are dedicated to delivering exceptional patient care and improving health outcomes. As a Nurse Case Manager, you will play a crucial role in developing and implementing cost-effective care plans that prioritize the needs of our patients.

About the Role

This is a full-time position on our Medical/Telemetry Unit, where you will work collaboratively with patients, families, healthcare providers, insurers, and community resources to ensure seamless care coordination.

Salary and Benefits

The hourly range for this position is $43.98 - $63.79, dependent upon experience. We offer a comprehensive benefits package that covers a wide range of programs to foster a sustainable culture of wellness.

Responsibilities
  1. Care Coordination: Organize and prioritize daily work by assessing patient needs and completing documentation as required.
  2. Utilization Review: Perform utilization review activities to provide patient-appropriate, timely, and cost-effective care, coordinating with patient care providers, hospital financial services, and third-party payers.
  3. Denial Prevention: Maintain an active role in denial prevention, proactively intervening with payers to prevent inpatient denials and communicating necessary information to facilitate appeals.
  4. Discharge Planning: Screen and coordinate the discharge planning process from patient admission to departure, assessing patient needs and coordinating with internal and external services for post-hospital care.
  5. Patient Education: Educate patients and their families on healthcare options, medication management, and self-care techniques to ensure optimal health outcomes.
Requirements
  • Current RN license for the state in which you practice.
  • Three years of clinical nursing experience.
  • RNs hired or promoted into this role must have or obtain their BSN within three years of hire or promotion.
Preferred Qualifications
  • Bachelor's degree in Nursing (BSN) from an accredited institution.
  • Case management certification.
  • Experience in case management, utilization review, and/or discharge planning.


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