Utilization Review RN Care Manager -Weekends

Type of Position:

Job Type:

Institution Name:

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education research and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization focused on improving patient care and the lives of Arkansans.

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical Dental and Vision plans available for qualifying staff and family
• Holiday Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening. To apply for the position please click theApply link/button.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

Departments Website:

Summary of Job Duties:

Qualifications:

Minimum Qualifications:

• Baccalaureate Degree ADN or Diploma RN Degree;

• 3 years RN experience with current BLS certification.

• Valid Arkansas Registered Nursing License

Preferred Qualifications:

• BSN

• Certified Case Manager (CCM) or American Case Management (ACM) certification

Additional Information:

Responsibilities:

• Initiates appropriate referrals to internal and external interdisciplinary teams.

• Establishes a working diagnosis on every patient at the time of the initial review.

• Communicates the target length of stay and estimated discharge on every patient at the time of the initial review and coordinates the discharge planning process in collaboration with the interdisciplinary team.

• Documents all team physician and payer communication and concerns pertaining to coordinating of care and services.

• Responsible for utilizing pre-established evidence-based screening criteria to validate the appropriateness of patient admission and provide appropriate screenings of the patients assigned to a designated coverage area including initial continued stay and completion of discharge screens.

• Communicates with physicians regarding the level of care or admission status when appropriate criteria are not met for inpatient observation or continued stay review.

• Escalates appropriate cases to Physician Advisor for secondary review process.

• Escalates payer denial/appeal issues to the Physician Advisor/CMO/Attending in a timely fashion.

• Other duties as assigned to meet UAMS core values and the business needs of the department.

Salary Information:

Required Documents to Apply:

Special Instructions to Applicants:

This position is subject to pre-employment screening (criminal background drug testing and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity. The information obtained in these reports will be used in a confidential non-discriminatory manner consistent with state and federal law.

Constant Physical Activity:

Frequent Physical Activity:

Occasional Physical Activity:

Benefits Eligible: