CASE MANAGEMENT COORDINATOR - UTILIZATION MANAGEMENT in Reno, NV at Saint Mary's Regional Medical Center

Date Posted: 8/6/2019

Job Snapshot

Job Description



Responsibilities

Department: Utilization Management

Status: Full Time

Shift: Days

 

Coordinates and reviews and coordinates flow of files and documentation in Department.  Actively participates in Case Management and Treatment Team meetings.  Responsible for reviewing patient charts in order to assess whether the criteria for admission and continuation of treatment has been documented; gathering data and responding to request for records from fiscal intermediary; gathering clinical and fiscal information and communicating status of both open and closed accounts for multiple levels of Case Management reporting.  Able to work independently and use sound judgment.  Knowledge of Federal, State, and intermediary guidelines related to inpatient, acute care hospitalization, as well as lower levels of care.  Coordinates communication regarding discharge referrals as requested by clinical staff, fiscal intermediary, patients and families.

Qualifications

 

1.            Associate or Bachelor’s in healthcare or related field or equivalent work experience in the related field.

2.            Acute care work experience preferred.

3.            Intermediate computer skills including data entry.

4.            Proficient communications skills both written and oral.

5.       Utilization review/appeal experience preferred

 

Employees must be in their current position for a minimum of six calendar months and not received any disciplinary action within the last six months to apply and be considered for a transfer.

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.  EEO is the Law: http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf