Job Description:

The Nurse Case Manager utilizes clinical expertise and critical thinking skills to develop and implement a plan of care that provides cost effective, extraordinary care. This position works collaboratively with patients, patient families/significant others, healthcare providers, insurers, community resources, and other involved parties.

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 stayIdentifies 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.
 

Shift Details: 24 hours per week, 12 hour shifts. Variable day and swing shift hours.

Compensation and Benefits:

Competitive Pay Rate based on experience

Incentives: Up to $225 annual caregiver incentive and a $1,500 referral bonus

Opportunities for Professional Development through training and certification programs

Various insurance options through Select Health, Intermountain Health's insurance companyOnsite fitness centers and discounts to local gymsBe Well caregiver incentive program – up to $400 per year and $200 for spouse/partnerOver 302,000 discount offers across 10,000 cities on everything from movie tickets, pizza and the zoo to car rentals and hotelsPaid Time Off including but not limited to Parental Leave, Long and Short-Term Disability401(k) with up to 6% employer contributionTo learn about additional Intermountain benefits Click here

Minimum Qualifications

Current RN license for state in which the nurse practices.Three years of clinical nursing experience.RNs hired or promoted into this role need to have or obtain their BSN within three years of hire or promotion.

Preferred Qualifications

Bachelor's degree in Nursing (BSN). Education must be obtained from an accredited institution. Degree will be verified.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.

Location:

Valley Center Tower

Work City:

Work State:

Scheduled Weekly Hours:

24

The hourly range for this position is listed below. Actual hourly rate dependent upon experience. 

We 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 Idaho, Nevada, and Utah based caregivers, and for our Colorado and Montana based caregivers.

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.

All positions subject to close without notice.