HCA, Hospital Corporation of America Nurse Case Manager - Full Time in Salt Lake City, Utah

RN Case Manager

St. Mark's Hospital provides a full array of services to the surrounding community, including the following service lines: cardiac, NICU, orthopedics, behavioral health, skilled nursing, acute rehab, as well as many others. St. Mark's is the oldest running hospital in Utah with rich traditions and a reputation for excellent patient care and quality outcomes. St. Mark's Hospital is nestled at the foot of the Wasatch Mountains and only a stone’s throw away from many national parks, including Moab, Zion, and Canyonlands.

*Position Type: * Full Time

*Work Schedule: *8 a.m. - 5 p.m. with rotating weekend coverage

NOTE: An assessment will be automatically sent to you when you have applied for this position (unless you have completed it when applying for a previous similar type position). Please look for it in your email and complete immediately as to not impede the processing of your application.

Job Responsibilities:

*The Case Manager performs activities focused on assessing medical necessity on all patient records, regardless of payer source.

*The Case Manager will perform clinical reviews on inpatient records using

approved InterQual criteria to evaluate medical necessity, admission status, level of care and discharge needs.

*The Case Manager is responsible for identifying and obtaining additional authorizations, facilitating authorizations for referrals, communicating with and

accurately documenting communications with third party payers in accordance with facility policies and procedures.

*The Case Manager will initiate/escalate denial management activities concurrently, and serve as a liaison with the Patient Account Services (PAS)

and others to minimize financial risk to the patient and facility.

_Minimum Requirements:_

  • Current State of Utah or Compact Registered Nurse License
  • BSN preferred
  • 5 years nursing experience in acute care setting, Case Management and Utilization Review experience preferred.

Job: *Case Management

Title: Nurse Case Manager - Full Time

Location: Utah-Salt Lake City-St. Mark%27s Hospital

Requisition ID: 00954-41533