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Case Manager / RN ER

Case Manager / RN ER

The University of Kansas Health System St. Francis CampusTopeka, KS, US
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Job Description

Overview

Join our team as a day shift, part-time, Case Management Acute Care, Case Manager Registered Nurse in Topeka, Kansas.

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

  • Thrive : We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
  • People-First : We prioritize your well-being with paid time off, comprehensive health benefits, and 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 :

  • The University of Kansas Health System St. Francis Campus, a part of a rich legacy of compassionate care since 1909, now offers 378 licensed beds, a history of innovation, and strong community support.

    • Responsibilities

  • The Case Manager coordinates care for high risk / complex patients and families by collaborating with the patient, family, physician, nurses, and other members of the healthcare team to identify needs and expedite appropriate, cost effective care.
  • Advises the healthcare team and provides leadership in issues of outcomes management and development of improved strategies to benefit high risk patients.
  • Provides clinical review against standard criteria for the purpose of evaluating medical necessity, regardless of payor type.
  • Provides ongoing communication with health plan utilization departments regarding medical necessity for prospective, concurrent and retrospective reviews.
  • Intervenes when potential denials are determined and files appeals when denials are received.
  • Partners with physician related to resource utilization including LOS and cost per case.
  • Reports to the Clinical Resource Management Director.

    • Qualifications

    Job Requirements :

  • Current licensure by Kansas State Board of Nursing.
  • Minimum of 3 years as a professional nurse in direct patient care with demonstrated clinical expertise.
  • RN,
  • 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 :

  • BSN
  • Current certification as a Care Assessor for the State of Kansas or obtain within 6 month of hire.
  • Previous experience as a case manager or utilization review nurse.
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    Rn Case Manager • Topeka, KS, US

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