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Job Description:
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.
Job Specifics:
- Pay Range: $42.70-$61.93/hr
- FTE: PRN
- Shift: Working hours Saturday and Sunday 8am-4:30pm every other weekend.
- Departments: The RN CM will work in Logan Regional or Cassia Hospitals depending on applicant need.
Minimum Qualifications
- Bachelor's degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.
- Current RN license for state in which the nurse practices.
- Three years of clinical nursing experience.
- Basic computer skills and knowledge of word processing software.
Preferred Qualifications
- 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:
05/25/2024Location:
Logan Regional HospitalWork City:
LoganWork State:
UtahScheduled Weekly Hours:
8The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$42.70 - $61.93We 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, and for our ; and our commitment to.
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.
Our facilities do not discriminate against any person on the basis of race, color, national origin, disability, or age in admission or access to, or treatment or employment in, its programs, services or activities, or on the basis of sex (gender) in health programs and activities