You’ll need
Licensure
✓State of Idaho Registered Nurse or licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the "multistate privilege to practice" compact with Idaho
✓Licensed RN with a minimum 3 years’ patient-facing RN experience at time of hire, ADN or diploma required
✓Licensed RN's with less than 3 years’ patient-facing RN experience as an ADN at time of hire are required to be enrolled in a baccalaureate (or higher) degree program in nursing within 1 year of employment, with BSN completion within 3 years of hire
Certifications
Current Certified Case Manager (CCM) certification, American Case Management (ACMA) certification, Certified Professional Utilization Review (CPUR) or Case Management Administration Certification (CMAC) preferred
Education
BSN or higher preferred.
Qualifications
✓Minimum 3 years clinical practice experience required
✓Excellent communication, organizational and interpersonal skills. Ability to work independently and manage time and decisions
✓Proficiency with standard software applications including spreadsheets and word processing required. Experience using Interqual preferred
Previous utilization review experience preferred
Knowledge of healthcare law and regulations related to acute care and the immediate post-acute continuum preferred
Benefits
Medical, dental and visionTuition assistanceRetirement planShift differentials
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About the role
Participates in utilization management, discharge planning, patient throughput, and evaluates the appropriate use of hospital resources by ensuring that patients meet medical necessity during their hospitalization
What you’ll do
Responsible for managing payerResponsible for managing payer relations and requirements to achieve optimum reimbursement and patient outcomes
Familiar with standard conceptsFamiliar with standard concepts, practices, and procedures within the field
Relies on experience andRelies on experience and judgment to plan and accomplish goals
Regular and predictable attendanceRegular and predictable attendance is an essential job function
Competent to meet ageCompetent to meet age specific needs of the unit assigned