Utilization Review Manager - Home Care jobs in Salt Lake City, UT

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.