END DATE October 16, 2016

RN Case Manager

HCA Healthcare - Salt Lake City, UT

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  • Company
    HCA Healthcare HCA Healthcare
  • Location
    Salt Lake City, UT
  • Job Type
  • Job Classification
    Full Time
  • Experience
    Entry Level (0 - 2 years)
  • Education
    Bachelors Degree
  • Company Ref #
  • AJE Ref #

Job Description

Job Code: 00954-32906


Days (rotating weekends)

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

* Current licensure as a RN in the State of Utah.

* BSN preferred.

* Five years nursing experience in acute care setting, Case Management and Utilization Review experience preferred.

Last Edited: 09/13/2016