What are the responsibilities and job description for the RN Case Manager - Full Time position at Arizona Specialty Hospital (11101)?
RN Case Manager Full Time
USPI Arizona Specialty Hospital is Hiring a RN Case Manager Full Time!
$5000.00 Sign On Bonus!!!!
USPI Arizona Specialty Hospital is a specialty inpatient hospital which was established to set a new standard for excellence and patient satisfaction in the delivery of orthopedic and spinal surgery. Arizona Specialty Hospital provides excellent patient services and the highest level of care, with the overall goal of improving the delivery of healthcare in Maricopa County and beyond.
Arizona Specialty Hospital is seeking an experienced Registered Nurse Case Manager to join our team! This position is full time.
USPI Arizona Specialty Hospital is a specialty inpatient hospital which was established to set a new standard for excellence and patient satisfaction in the delivery of orthopedic and spinal surgery. Arizona Specialty Hospital provides excellent patient services and the highest level of care, with the overall goal of improving the delivery of healthcare in Maricopa County and beyond.
Our singular focus is the state-of-the-art care of musculoskeletal conditions including joint replacement, spine surgery and other reconstructive procedures. Our mission is to provide first-class surgical services for the community in a safe, comfortable and welcoming environment; one in which we would be happy to treat our own families.
$5,000.00 Sign On Bonus
Job Summary
- Working independently while handling multiple priorities simultaneously.
- Utilizes the nursing process of assessment, planning, implementation and evaluation to direct or provide nursing care.
- Manages patients across the healthcare continuum to achieve optimal clinical, financial, operational and satisfaction outcomes.
- Assess the patients’ plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care.
- Active participant in the interdisciplinary healthcare team to promote/facilitate discharge planning, facilitating options and services to meet patients’ health care needs.
- Identifies and intervenes when necessary to ensure efficient and cost-effective delivery of patient care services.
- Coordinates the necessity of case management and utilization review for any patient at AZSH.
- Provides requested documentation to payors in a timely manner.
- Establishes and promotes collaborative relationships with physicians, patients, families and additional members of the healthcare team.
- Educates members of the healthcare team on case management and managed care concepts.
- Review medical necessity and coordinate with the interdisciplinary team to assure correct status for payment.
- Assist with clinical interpretation for denial and appeals management.
- Knowledgeable about Medicare, Medicaid, and commercial insurance plans.
- Strong analytical, organizational, and time management skills.
- Experience with InterQual and or MCG
- EMR Experience
What We Offer
As a valued member of USPI, your health and well‑being are important to us. We are proud to provide you and your dependents with valuable and significant benefits. USPI knows the value of well-rounded, balanced employees, which is why we offer a variety of additional benefits to help manage life’s daily stresses.
- Health, Dental & Vision Coverage
- 401(k) retirement plan
- Paid Time Off (PTO)
- Company Paid Holidays
- Employee Assistance Programs
- Health Savings Account/ Flexible Spending Account
- Education Assistance
Who We Are
At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.
USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.
Required Experience:
Qualification
- Current unencumbered RN license
- Recent Case Management experience in a hospital setting
- Utilization review experience
- Discharge planning in a hospital setting
- Ability to be part of the RN Case Management On Call rotation, with 1-2 on call weekends a month, depending on case load.
