What are the responsibilities and job description for the UTILIZATION REVIEW CASE MANAGER - CASE MANAGEMENT position at NORTH IDAHO DAY SURGERY LLC?
Northwest Specialty is seeking a patient-focused and detail-oriented Utilization Review Case Manager to join our Case Management team!
The individual in this position is responsible to facilitate care along a continuum through effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient’s resources and right to self-determination. The individual in this position has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity and to assess the patient for transition needs to promote timely throughput, safe discharge and prevent avoidable readmissions.
Qualifications and Preferred Experience:
- Extensive sonography education, training, and experience in the specialty area(s) to be performed.
- Extensive clinical experience in providing sonography services and demonstrated ability to mentor and support staff sonographers.
- Demonstrated competence in the specialty area(s) to be performed, including sonographer certification by the American Registry for Diagnostic Medical Sonography (ARDMS) or the American Registry of Radiologic Technologists (ARRT).
- Demonstrated commitment to professional growth and lifelong learning (e.g., continuing medical education in the specialty area(s) performed, higher education, research, staff training, etc.).
- Demonstrated proficiency with computer skills and software programs for documentation activities and report generation.
- Must be able to achieve Basic Life Support (BLS) certification within 60 days of employment
About Northwest Specialty Hospital:
Northwest Specialty Hospital is widely known for being a center of excellence and is proudly owned and operated by local physicians. The physicians have invested personally, professionally and financially in the care of the patients and the staff. They have dedicated their lives to creating a hospital that allows them to practice on their own terms and do what’s best for patients. Northwest Specialty Hospital includes 10 operating rooms and 30 inpatient beds, along with a variety of clinics and services throughout Kootenai County, that span across multiple specialties.
Northwest Specialty Hospital has earned numerous awards for patient care, surgical skill, medical care, and employee satisfaction. Northwest Specialty Hospital has been recognized as one of the Best Places to Work in the Inland Northwest for seven consecutive years!! Companies throughout Washington and Idaho were selected based on employee feedback about benefits, work environment, job satisfaction, and other factors. We continue to receive this distinguished honor based on our great company culture, patient focused approach, and robust benefits package!
Some of our amazing perks and benefits offered to employees are:
- Active Idaho Registered Nurse license or Masters Social Work license
- 5 Years acute orthopedic surgical hospital nursing or social work experience and 2 – 3 years acute hospital Case Management experience
- Experience utilizing MCG or Interqual
- Demonstrated organization skills
- Ability to lead and coordinate activities of a diverse group
- Critical thinking and problem-solving skills
- Computer literacy to include Microsoft word, excel, and outlook
**Northwest Specialty Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.**
