RN Case Manager

Case Management Team OpportunityCome join our growing Case Management Team! Utilize your clinical and critical thinking skills to coordinate care from hospital to next level of care. This position is supported by highly skilled departmental administrative staff and interacts collaboratively with the patient as well as resources internally and externally to deliver high-quality care.Role Overview:This position provides clinical case management services aimed at enhancing patient-centered care and maximizing outcomes across the patient care continuum from pre-admission through post-discharge.Case management services include monitoring patient care to ensure progress toward desired outcome, addressing patient and family needs, resolving obstacles to effective care, coordinating care with payers and vendors, patients and families.Together with the multiple other internal team member the case manager is responsible for establishing, monitoring and executing patients discharge plan.Location: University of Utah HospitalSetting: Supporting Inpatient UnitsSchedule: Monday- Friday 4x10s, Rotating Holiday and WeekendsBenefits (ProRated based on FTE):Save 50% on Tuition (Tuition reduced for eligible employees attending the University of Utah)Health Coverage, Dental Coverage, Life InsuranceRetirementPaid Time Off11 Paid Holidays per yearLicense Requirements:Current license to practice as a Registered Nurse in the State of Utah or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.Sign-on Bonus – RN Case ManagerThe University of Utah Health Hospitals and Clinics is embarking on a new program to attract and retain RN Case Managers. The program provides a signing bonus for new hired RN Case Manager at a 0.50 FTE or greater.A signing bonus is available for new hired RN Case Managers, prorated to the RN Case Manager's FTE. The bonus is structured as follows:The applying RN Case Managers must be an external candidate.The first installment is paid out upon hire.The second installment is paid out after twelve (12) months of employment.Additional details:Bonus will be paid for those attending New Employee Orientation until September 30, 2026.If, at any time during the first one (1) year of employment, a RN Case Managers drops below a.50 FTE, all future bonuses are forfeited, regardless of whether or not they later return to an FTE above.50.If an eligible RN Case Managers terminates from the organization and is subsequently rehired, they must have been separated from the organization for a period of at least one year before becoming eligible once again for the program.The incentive payments are taxable, and all regular payroll taxes will be withheld.Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AAResponsibilitiesEssential FunctionsCoordinates case management process from patient's entry into the healthcare system to post-discharge, including outpatient settings. Coordinates care and resources with physicians, social workers, and other team members to achieve optimal patient outcomes.Identifies patients who are suitable for case management intervention based on criteria such as cost, case complexity, frequency of admission or patient/family/provider or other healthcare team member request.Monitors and documents quality of care to ensure patient care plan goals are appropriate and that they are understood and implemented. Routinely assesses client and family response to services, while also measuring care plan effectiveness and necessity. Identifies patient needs, including those of an ethical and cultural nature, and ensures they are addressed.Facilitates cost effective outcomes by determining appropriate level of care based on diagnosis, severity, intensity of services required, and other relevant criteria, using national and regional length of stay standards and community norms.Assesses and discusses funding and insurance issues with client, family, and healthcare providers to enhance cost effective utilization of services and quality outcomes.Negotiates with third party payers relative to benefit levels, eligibility, utilization review, and reimbursement.Identifies actual and potential delays in service requests or treatment and communicates them to health care team so steps can be taken to eliminate or minimize delays.Works with other team members to plan appropriate and timely discharges.Establishes measurable discharge planning and self-management goals that promote safe, cost effective, high quality outcomes.Provides oversight of issuance of CMS Important Message to patients.Supervises technical support staff assigned to individual case management teams.May set up patients' follow up appointments and performs post discharge phone calls to patients per care team design.May be required to complete home or site visits as required by the department.At the discretion of department operational and patient care needs, this position is required to work rotating schedules, which may include variable hours, weekends, nights, and holidays to meet the staffing and patient care demands of a 24/7 complex health system. Regular, reliable, and punctual attendance during assigned shifts is considered an essential function of the role.Knowledge / Skills / AbilitiesAbility to perform the essential functions of the job as outlined above.Demonstrated availability to work variable and rotating shifts, including nights, weekends, and holidays, in a 24/7 patient care environment.Demonstrated team leadership, relationship building, critical analysis, and written and verbal communication skills.Knowledge of funding resources and clinical standards and outcomes.Ability to provide care appropriate to the population served.Demonstrated independent judgment to assess and meet client needs. Ability to have meaningful outcome oriented dialogues with patients, families, various patient care disciplines, ancillary departments, health care and community agencies, third party payors, and Health Science Center professional schools in coordinating care and services for patients.The staff member must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned area.The individual must demonstrate knowledge of the principles of life span growth and development and the ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.QualificationsRequiredTwo years of professional experience in a clinically related area.Dependent upon the department of hire, may be required to provide reliable transportation for site visits.Licenses RequiredCurrent license to practice as a Registered Nurse in the State of Utah, or obtain one within 90 days of hire under the interstate compact if switching residency to State of Utah. Must maintain current Interstate Compact (multi-state) license if residency is not being changed to Utah.Qualifications (Preferred)PreferredBasic Life Support Health Care Provider card through American Heart Association.A Certified Case Management designation.Previous experience in clinical resource management activities and third party payer interactions.Working Conditions and Physical DemandsEmployee must be able to meet the following requirements with or without an accommodation.This position involves light work that may exert up to 20 pounds and may consistently require light work involving lifting, carrying, pushing, pulling or otherwise moving objects involving patient care or medical equipment. This position does not provide any direct patient care. Workers in this position may be exposed to infectious diseases and may be required to function around prisoners or behavioral health patients