Presbyterian Healthcare Services
RN - Utilization Review Case Manager - Remote
This job is now closed
Job Description
- Req#: 42357
- Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
- Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
- Shift differentials for nights and weekends
- Differentials for higher education, certifications and various lead roles
- Malpractice liability insurance
Overview
Type of Opportunity: Full Time FTE: 1.000000 Exempt: Yes Work Schedule: Varied Days
Sign-on Bonus & relocation available for qualified candidates.
We're all about well-being, starting with yours. Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.
Presbyterian is committed to an inclusive and equitable environment where everyone is valued and empowered for success. We believe that our environment should reflect the diversity of our community.
How you grow, learn and thrive matters here.
Summary:The Case Manager IV provides clinically-based case management to support the delivery of effective and efficient patient care. The role integrates utilization management, care coordination, and transition planning functions. The Case Manager IV has the overall accountability for a designated case load and plans effectively in order to meet patients needs, manage the length of stay, and promote efficient utilization of resources. In collaboration with the interdisciplinary team, the case manager IV supports the physician in facilitating patient care with the objective of enhancing the quality of patient outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payers
Interested in learning more?
Have more questions about this opportunity? Schedule a one-on-one chat with a Nurse Recruiter by clicking here: Select a Date & Time - Calendly
Qualifications
Other information:*Registered Nurse with Masters of Science in nursing (MSN) degree plus five years utilization review or case management experience or Registered Nurse with Bachelors in nursing (BSN) plus ten years utilization review or case management experience required. *Current State of New Mexico Registered Nurse licensure required. *Two years clinical nursing experience in relevant clinical practice area.*National Case Management certification preferred
**Utilization Review experience preferredEducation:Essential:* Bachelor DegreeEducation specialization:Essential:* Nursing
Credentials:Essential:* Registered Nurse-NM
BLS Certification required at time of hire.
Benefits
Learn more about our employee benefits.
About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system comprised of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 13,000 employees - including more than 1,200 providers and nearly 3,500 nurses.
Our health plan serves more than 640,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.
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Maximum Offer for this position is up to
USD $51.41/Hr.Compensation Disclaimer
The compensation range for this role takes into account a wide range of factors, including but not limited to experience and training, internal equity, and other business and organizational needs.About the company
Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico.