Case Manager Utilization Review Emergency Based
: Job Details :

Join to apply for the Case Manager Utilization Review Emergency Based role at TriState Health.

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, 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 nurse will also begin discharge planning by interviewing patients and gathering pertinent information. The ideal candidate should demonstrate the knowledge and skills necessary to offer care appropriate to a wide population of patients and have knowledge of community resources.

Requirements:

• Graduate of an accredited nursing program; bachelors degree preferred.
• Current Washington State RN license.
• Current American Heart Association BLS/CPR certification.
• Minimum of 2 years clinical, case management, or utilization review experience in an acute care setting (preferred).
• Knowledge of healthcare operations, utilization review, and community resources.
• Excellent documentation and communication skills.

Benefits include:

• Paid Time Off
• Medical, Dental, and Vision insurance
• Retirement 403(b) with matching contributions
• Flexible Spending Accounts
• Employee Assistance Program
• Tuition Reimbursement
• Life Insurance

Additional details:

• Seniority level: Entry level
• Employment type: Full-time
• Industry: Hospitals and Healthcare

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