Career Center

Come join our growing Case Management Team! Utilize your clinical & critical thinking skills to coordinate care from hospital to next level of care. This position is supported by highly skilled departmental administrative staff and interacts collaboratively with the patient as well as resources internally and externally to deliver high quality care.

LOCATIONS: Main Hospital and Huntsman Cancer Hospital

Fulltime FTE's available: .75 and 1.0

Sign-on Bonus – RN Case Manager

The University of Utah Health Hospitals and Clinics is embarking on a new program to attract and retain RN Case Managers. The program provides a signing bonus for new hired RN Case Manager at a 0.50 FTE or greater.

Responsibilities

• Coordinates case management process from patient's entry into the healthcare system to post-discharge, including outpatient settings. Coordinates care and resources with physicians, social workers, and other team members to achieve optimal patient outcomes.

• Identifies 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.

• Monitors and documents quality of care to ensure patient care plan goals are appropriate and that they are understood and implemented. Routinely assesses client and family response to services, while also measuring care plan effectiveness and necessity. Identifies patient needs, including those of an ethical and cultural nature, and ensures they are addressed.

• Facilitates cost effective outcomes by determining appropriate level of care based on diagnosis, severity, intensity of services required, and other relevant criteria, using national and regional length of stay standards and community norms.

• Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.

• Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and reimbursement.

• Identifies actual and potential delays in service requests or treatment and communicates them to health care team so steps can be taken to eliminate or minimize delays.

• Works with other team members to plan appropriate and timely discharges.

• Establishes measurable discharge planning and self-management goals that promote safe, cost effective, high quality outcomes.

• Provides oversight of issuance of CMS Important Message to patients.

• Supervises technical support staff assigned to individual case management teams.

• May set up patients' follow up appointments and performs post discharge phone calls to patients per care team design.

• May be required to complete home or site visits as required by the department.

Knowledge / Skills / Abilities

• Ability to perform the essential functions of the job as outlined above.

• Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.

• Knowledge of funding resources and clinical standards and outcomes.

• Ability to provide care appropriate to the population served.

• Demonstrated independent judgment to assess and meet client needs. Ability to have meaningful outcome oriented dialogues with patients, families, various patient care disciplines, ancillary departments, health care and community agencies, third party payors, and Health Science Center professional schools in coordinating care and services for patients.

• The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned area.

• The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.

Qualifications Required

• Two years of professional experience in a clinically related area.

• Dependent upon the department of hire, may be required to provide reliable transportation for site visits.

Licenses Required

• One of the following

• 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. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.

• Current Licensed Clinical Social Worker (L.C.S.W.) certificate for clinical practice in the State of Utah.

• Current licensure to practice as an Occupational Therapist in the State of Utah.

• Current license to practice as a Physical Therapist in the State of Utah, or obtain one within 90 days of hire under the Physical Therapy Compact if switching residency to State of Utah. Must maintain current Physical Therapy Compact (multi-state) license if residency is not being changed to Utah.

• Current license to practice as a Clinical Mental Health Counselor in the State of Utah.

* Additional license requirements as determined by the hiring department.

Qualifications (Preferred)

Preferred

• Basic Life Support Health Care Provider card through American Heart Association.

• A Certified Case Management designation.

• Previous experience in clinical resource management activities and third party payer interactions.

About UNIVERSITY OF UTAH HEALTH

The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes. As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, diversity, integrity, quality and trust that are integral to our mission. EO/AA. University of Utah Health is the only academic medical center in the state of Utah and the Mountain West and provides patient care for the people of Utah, Idaho, Wyoming, Montana, western Colorado, and much of Nevada. It also serves as the training ground for the majority of the state's physicians, nurses, pharmacists, therapists, and other health care professionals.

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