Case Manager Utilization Review Emergency Based
Case Manager Utilization Review Emergency Based
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Job Description
Job Summary:
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 bachelors 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 on 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
Required Experience:
Manager
Employment Type
Full-Time
