Utilization Review Manager - Home Care jobs in Utah

Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)

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Registered Nurse Case Manager Utilization Review
  • CommonSpirit Health Mountain Region
  • West Jordan, UT FULL_TIME
  • Welcome to CommonSpirit Health Mountain Region

    CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how and where healing can happen—both inside our hospitals and out in the community. With locations throughout Colorado, Utah, and Kansas, we deliver the same high standard of care to our employees as we do to our patients. Our 20 hospitals, emergency and urgent care centers, home care and hospice, Flight for Life Colorado TM , telehealth and over 240 physician practices and clinics offer endless opportunities! Here, you can grow your career and impact the people in the communities you serve.

     

    CommonSpirit Health is one of the nation’s largest nonprofit, faith-based health systems, with a team of over 150,000 employees and 25,000 physicians and advanced practice clinicians. CommonSpirit operates more than 2,200 care sites and 140 hospitals, serving some of the most diverse communities across the nation, letting humankindness lead the way.

    Overview

    RN Case Managers may be eligible for a relocation bonus up to $8,000. Ask a recruitment team member for more information to learn more!

     

    You have a purpose, unique talents and NOW is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success.

     

    As a Registered Nurse, RN Case Manager you'll advocate for patients while collaborating closely with interdisciplinary health care partners, facilities and families to ensure the best possible care experience from admission through discharge and beyond by connecting patients to resources that help them maintain and build on positive outcomes.

     

    In the role of RN Case Manager, you will also:

    • Utilize clinical expertise, discretion, and independent judgment in assessing/reassessing, facilitating care coordination, utilization management, and patient advocacy.
    • Assure medical appropriateness criteria are met for status and level of care.

    Qualifications

    In addition to bringing humankindness to the workplace each day, qualified nursing candidates will need the following:

     

    Education Requirements

    • Associates Degree in Nursing required; Nursing Diploma or by endorsement
    • Bachelors Degree in Nursing preferred
    • Graduate of an accredited School of Nursing required for new graduates, preferred for experienced RNs

    Experience Requirements

    • 1 year of nursing or case management experience required.
    • Experience working with EMR preferred.
    • Working knowledge of regulatory requirements and accreditation standards strongly preferred.

    Licenses/Certification Requirements

    • RN License required; Current state nursing licenses or valid RN license from a participating state in the National Licensure Compact
    • BLS from the American Heart Association, required

    Physical Requirements 

    • Medium Work - (Exert up to 50lbs force occasionally, and/or up to 20lbs frequently, and/or up to 10lbs constantly)

    Your Connected Community

    Following a major expansion, Holy Cross Hospital – Jordan Valley's capacity tripled, now housing 171 beds to serve our growing community. We have invested substantially in advanced technology and state-of-the-art equipment, which has attracted our top-notch medical staff and a team of highly skilled nurses. Our entire hospital team is dedicated to providing expert care in a warm, family-friendly environment. We are a Level III Trauma center, STEMI Cardiac receiving center, and certified stroke treatment center. Our employees are continually prepared, accountable, inspired and ensure compliance with the highest levels of quality care and patient safety standards. Recently given the Women’s Choice Award for America’s 100 Best Hospitals Emergency Care, we are the only designated trauma center west of I-15 in the Salt Lake Valley.

     

    Our Total Reward Offerings

    Be sure to consider our generous benefits as part of your overall compensation!  Designed with your well-being in mind, our benefits include:

    • Medical
    • Dental
    • Vision
    • 401K with generous match
    • Daycare FSA that can include a company contribution
    • Tuition Reimbursement
    • Student Loan Forgiveness and more! 

    View more on our benefits HERE.

  • 24 Days Ago

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Registered Nurse Case Manager Utilization Review PRN
  • CommonSpirit Health Mountain Region
  • West Jordan, UT OTHER
  • Welcome to CommonSpirit Health Mountain Region CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how ...
  • 1 Month Ago

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Registered Nurse Case Manager Utilization Review
  • CommonSpirit Health Mountain Region
  • Layton, UT FULL_TIME
  • Welcome to CommonSpirit Health Mountain Region CommonSpirit Health Mountain Region is committed to building healthier communities, advocating for those who are poor and vulnerable, and innovating how ...
  • 1 Month Ago

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Utilization Review Coordinator
  • ignoredontpost
  • Springville, UT FULL_TIME
  • Responsibilities: ABOUT US Provo Canyon School is a 24/7 secure residential treatment center (behavioral health) for male and female adolescents aged 12 through 17. We counsel, teach and mentor studen...
  • 19 Days Ago

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Utilization Review Nurse
  • University of Utah Health
  • Salt Lake, UT OTHER
  • Overview As a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission requir...
  • 21 Days Ago

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Utilization Review Nurse
  • University of Utah Healthcare
  • Salt Lake, UT OTHER
  • OverviewAs a patient-focused organization, University of Utah Health exists to enhance the health and well-being of people through patient care, research and education. Success in this mission require...
  • 21 Days Ago

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Director Utilization Management
  • AMI Network
  • San Diego, CA
  • I’m partnered with a major health plan in San Diego to find a Director of Utilization Management! This top-rated Medicai...
  • 3/28/2024 12:00:00 AM

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Utilities Manager
  • City of Upland, CA
  • Upland, CA
  • Salary : $124,287.53 - $158,625.88 Annually Location : Public Works - 1370 N. Benson Ave Upland, CA Job Type: Full Time ...
  • 3/28/2024 12:00:00 AM

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Utilities Manager (At-Will)
  • City of Rialto, CA
  • Rialto, CA
  • Salary : $116,448.00 - $156,060.00 Annually Location : Rialto, CA Job Type: Full-Time Job Number: 23-072 Department: RUA...
  • 3/28/2024 12:00:00 AM

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Utilization Management Assistant
  • Trinity Health
  • Des Moines, IA
  • Employment Type: Full timeShift: Description: GENERAL SUMMARY: Under general supervision, the Utilization Management Ass...
  • 3/28/2024 12:00:00 AM

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Utilization Management Coordinator
  • Hackensack Meridian Health
  • Point Pleasant Beach, NJ
  • Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
  • 3/25/2024 12:00:00 AM

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Utilization Management Coordinator
  • Hackensack Meridian Health
  • Oakhurst, NJ
  • Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
  • 3/25/2024 12:00:00 AM

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Utilization Management Coordinator
  • Hackensack Meridian Health
  • Neptune, NJ
  • Description: Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients ...
  • 3/25/2024 12:00:00 AM

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Utilization Management Coordinator
  • Yoh, A Day & Zimmermann Company
  • Alameda, CA
  • Job Description Job Description Utilization Management Coordinator needed for a remote contract opportunity with Yoh’s c...
  • 3/25/2024 12:00:00 AM

Utah is known for its natural diversity and is home to features ranging from arid deserts with sand dunes to thriving pine forests in mountain valleys. It is a rugged and geographically diverse state that is at the convergence of three distinct geological regions: the Rocky Mountains, the Great Basin, and the Colorado Plateau. Utah is one of the Four Corners states, and is bordered by Idaho in the north, Wyoming in the north and east; by Colorado in the east; at a single point by New Mexico to the southeast; by Arizona in the south; and by Nevada in the west. It covers an area of 84,899 sq mi ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Utilization Review Manager - Home Care jobs
$71,948 to $91,730