Case Management RN - AZ Specialty Hospital - FT (18390-147)

United Surgical Partners International Chandler , AZ 85249

Posted 1 month ago

Arizona Specialty Hospital in Chandler Arizona is in need of a Full Time Case Management RN.

Benefit package including 401K and Great staff.

Job Summary:Assess, plan, implement, coordinate, monitor and evaluate options, services and alternative levels of care to meet a patient's needs. Promotes appropriate utilization, high quality of care and cost effective outcomes. Communicates with Physicians/Nurse Manager/co-workers, as appropriate. Acts as a consultant and educator on matters referring to alternative levels of care, managed care issues, and community resources.

Job Responsibilities:

  • Requires fundamental knowledge of the revenue cycle process, which includes such things as patient access, utilization review, charge capture, HIM and patient accounting.

  • Requires the advanced analytical and critical thinking skills necessary to audit patient care data, associated patient care documentation and identify variances in standards of care.

  • Requires knowledge of rules and regulations pertaining to hospital reimbursement.

  • Requires familiarity with managed care principles and an understanding of post-acute continuum of care.

  • Requires the interpersonal skills necessary to maintain effective working relationships and interact effectively with staff, physicians, review agencies, insurance companies, patients and patients'' families.

  • Requires the effective communication skills (both verbal and written) necessary to prepare documentation, write appeal letters and to provide education to staff and physicians regarding the revenue cycle process.

  • Demonstrates the ability to be self-motivated, detail oriented and make independent decisions. Also demonstrates the ability to respond quickly and appropriately to customer requests.

  • Demonstrates a working knowledge of the Hospital's computer systems and proficiency in basic computer skills (i.e., data entry, word processing, spreadsheets, utilizing the internet, etc.). A basic understanding of database applications is desired.

  • Demonstrates knowledge of and a commitment to the Hospital's mission and values and the organization's goal of providing world class service.

  • Requires the physical ability and stamina to perform the essential functions of the position.

  • Regulatory Requirements:

  • Graduate of an accredited school of nursing.

  • Current Arizona State Registered Nurse Licensure.

  • Current BCLS and ACLS certification.

Language Skills:

  • Able to communicate effectively in English, both verbally and in writing.

  • Additional languages preferred.

Benefits:

  • Our competitive salary and benefits package includes medical and dental insurance, 401(k), paid time off and life insurance.
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Case Management RN - AZ Specialty Hospital - FT (18390-147)

United Surgical Partners International