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RN Case Manager - Full TimeUSPI • Phoenix, Arizona
RN Case Manager - Full Time

RN Case Manager - Full Time

USPI • Phoenix, Arizona
30+ days ago
Job type
  • Full-time
Job description

Arizona Specialty Hospital is seeking an experienced Registered Nurse Case Manager to join our team! This position is full time.

The RN Case Manager responsibilities include:

  • Working independently while handling multiple priorities simultaneously.
  • Utilizes the nursing process of assessment, planning, implementation and evaluation to direct or provide nursing care.
  • Manages patients across the healthcare continuum to achieve optimal clinical, financial, operational and satisfaction outcomes.
  • Assess the patients’ plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care.
  • Active participant in the interdisciplinary healthcare team to promote/facilitate discharge planning, facilitating options and services to meet patients’ health care needs.
  • Identifies and intervenes when necessary to ensure efficient and cost-effective delivery of patient care services.
  • Coordinates the necessity of case management and utilization review for any patient at AZSH.
  • Provides requested documentation to payors in a timely manner.
  • Establishes and promotes collaborative relationships with physicians, patients, families and additional members of the healthcare team.
  • Educates members of the healthcare team on case management and managed care concepts.
  • Review medical necessity and coordinate with the interdisciplinary team to assure correct status for payment.
  • Assist with clinical interpretation for denial and appeals management.
  • Knowledgeable about Medicare, Medicaid, and commercial insurance plans.
  • Strong analytical, organizational, and time management skills.
  • Experience with InterQual and or MCG
  • EMR Experience

Required Skills:

Benefits:

  • Medical, Dental, Vision
  • PTO and Sick time Plans
  • 401k after 30 days
  • Employer Paid Life Insurance
  • Employee Paid Life Insurance
  • and more!

Requirements

  • Unencumbered RN license
  • Hospital experience preferred

Required Experience:
  • Current unencumbered RN license
  • Recent Case Management experience in a hospital setting
  • Utilization review experience
  • Discharge planning in a hospital setting
  • Ability to be part of the RN Case Management On Call rotation, with 1-2 on call weekends a month, depending on case load.
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RN Case Manager - Full Time • Phoenix, Arizona

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