Job detail

Case Manager / RN

Portneuf Health

#Case Management #Registered Nurse #BLS #Patient Care #Healthcare #Referrals #Discharge Planning #Acute Care #Hospital Setting #Utilization Review #Patient Admission #Medical Necessity Review

Unknown On Site 5-10 yrsPosted 1 month agoCloses Apr 15

Location

Pocatello, Idaho

Quick overview

The Case Manager is responsible for conducting medical necessity reviews, discharge planning, and utilization reviews for acute care patients. They collaborate with the healthcare team to ensure clinical appropriateness and efficient resource utilization.

Requirements summary

Candidates must hold a current RN license and obtain BLS certification within 14 days of hire. A minimum of 5 years of hospital experience and case management certification are preferred.

professional certificateDocumentationPatient careClinical assessmentDischarge planningBLS certificationCase managementAcute careReferral managementCommunity resourcesUtilization reviewRegistered nurseMedical necessity review

Job description

Overview

Join our team as a rotating shift, PRN, Case Management Acute Care Registered Nurse (RN) in Pocatello, ID.
Why Join Us?
Thrive in a People-First Environment and Make Healthcare Better Thrive: We empower our team with career growth opportunities and resources that support your wellness, education, and financial well-being.
People-First: We prioritize your well-being with a supportive, inclusive culture where you are valued and cared for.
Make Healthcare Better: We use advanced technology to support our team and enhance patient care.
Get to Know Your Team: Portneuf Medical Center is a nationally recognized healthcare leader with 205 beds, serving as the region's tertiary care and Level II Trauma Center, housing the Portneuf Heart and Vascular Institute, Portneuf Cancer Center, Portneuf Medical Group, and Portneuf Air Rescue.

Responsibilities

To assure clinical appropriateness of services and efficient use of resources through collaboration with the entire health care team for acute care patients.
The Case Manager is responsible for medical necessity review, discharge planning, and utilization review.
Performs medical necessity reviews and initial assessment within 24 hrs of patient admission.
Identifies and communicates changes in the patients plan of care to the health care team.
Maintains detailed knowledge of community resources and process for referals.
Completes all assigned UR tasks on a daily basis.
Using LOS anticipates patient needs, stewardship of resources and timely transitioning of patients to alternative level of care.
Documents in patient record in a consistent and timely manner to include initial screenings and discharge plan.

Qualifications

Job Requirements

Current RN license BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care.
Preferred
Job
Requirements: Minimum of 5 years' experience, preferably in a hospital setting, with case management certification.