Job Description:

Posting Specifics:

Benefits Eligible: Yes

Shift Details: Full time, 40 hours M-F 8-5

Unit/Location: Nevada Central Office

Intermountain Health offers a generous benefits package that contributes to the overall health and compensation of each caregiver.

• Sign-on bonus
• Various insurance options through Select Health, Intermountain's insurance company
• Onsite fitness centers and discounts to local gyms
• LiVe Well caregiver incentive program - up to $300 per year
• Employee Assistance Program (EAP) - including free counseling for caregivers and their immediate family
• Over 302,000 discount offers across 10,000 cities on everything from movie tickets, pizza and the zoo to car rentals and hotels
• Paid Time Off including but not limited to Parental Leave, Long and Short-Term Disability
• 401(k) with up to 4% employer contribution
• Up to $1,500 referral bonus
• Tuition Reimbursement
• Tuition Assistance through Peak - up to $5,200 per year paid to your school as you go

To learn about additional Intermountain benefits Click here

Minimum Qualifications:

• Prefer at least 1 year experience in a clinical setting
• Current NV LPN license
• BLS CPR/AED

Job Essentials

• Serves as the primary contact with payers, receiving and prioritizing requests and sending clinical information for authorization of services based on contractual requirements.
• Promptly communicates utilization review needs, days authorized, denials, and other communication from the payers to care managers and physician advisors.
• Collaborates with the revenue cycle staff and others to research payment sources.
• Maintains a current list of contractual requirements and contact information by payer (as communicated by payer contracting). Promptly distributes new information and communicates changes to care management staff and leaders.
• Requests and retrieves medical records from the Health Information Management for retrospective utilization or quality assurance review.
• Delivers routine regulatory notices to patients in the required timeframe (i.e. 'Follow-Up Important Message from Medicare' at least one day before the patient's expected discharge date).
• Performs a variety of specific clerical tasks to support care management services (i.e. prepares and prints reports; prioritizes and schedules appointments; distributes and/or communicates requests; retrieves phone; fax, email, and other messages and/or mail; scans and copies documents as needed).
• Supports advanced care planning by delivering advance directive information and notarizes documents upon request.
• Supports a compliant patient choice process by ensuring online provider lists are current in all systems, distributes provider list to patients/families as instructed, prior to patient choice consult performed by the care manager/social worker.
• Provides support for transition planning (i.e. prepares transfer packets for transition to post-acute/community-based facility or services; ensures resources and documents are routinely updated in the Integrated Care Management website; arranges transportation, confirms arrangements; communicates with the patient/family and next service providers).
• Consistently documents all communication, actions, and information.
• Promptly reports issues and concerns to the departmental chain-of-command.
• Assists with special programs including data collection for process improvement projects.

Physical Requirements:

Anticipated job posting close date:

Location:

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Scheduled Weekly Hours:

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers, and for our Colorado, Montana, and Kansas based caregivers; and our commitment todiversity, equity, and inclusion.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.