Overview Join to apply for the Case Manager Utilization Review Emergency Based role at TriState Health
The ED-based Case Manager/Utilization Review nurse is based out of the Emergency Department and collaborates with the emergency care team to coordinate the admission of ED patients as well as providing discharge planning support to those patients not admitted to the facility. For patients being admitted to the facility, the Case Manager/Utilization Review nurse will serve as a resource to providers in determining appropriate patient status and will complete initial utilization management reviews using InterQual criteria. The Case Manager/Utilization Review nurse will also begin the discharge planning process by interviewing patients and gathering pertinent case management/discharge planning information. The Case Manager/Utilization Review nurse should demonstrate the knowledge and skills necessary to offer care appropriate to a wide population of patients and have knowledge of community resources.
Education And Training Graduate of an accredited school of nursing with a bachelor’s degree preferred.
Licensures/ Certifications Current Washington State RN license
Current American Heart Association BLS/CPR certification card on hire or within orientation period
Experience Prefer a minimum of 2 years clinical, case management, or utilization review experience in an acute care setting.
Skills And Abilities Requires knowledge of health care industry operations, the health care delivery system, utilization review, and the principles and practices of the DNV Accreditation of Health Care Organizations. Knowledge of local social service resources beneficial. Excellent documentation and communication skills are required.
Benefits Overview Paid Time Off
Medical, Dental and Vision
Retirement 403(b) with matching contributions
Flexible Health Spending Account and Dependent Care Spending Account
Employee Assistance Program
Tuition Reimbursement
Life Insurance
Employee Wellness Program
Seniority level Entry level
Employment type Full-time
Job function Other
Industries Hospitals and Health Care
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