Access Case Manager - Utilization Review (Evergreen)

The University of Kansas Hospital; Kansas City (KS); On-site; USD 65,000 - 85,000; Full time

Job summary

The University of Kansas Hospital is seeking an Access Case Manager in Kansas City, Kansas, to enhance patient care and outcomes while managing financial aspects of patient care. This role requires a licensed registered nurse with clinical experience to perform assessments and coordinate care with healthcare teams.

Qualifications

• 2 or more years clinical experience required.
• Licensed Registered Nurse in State of Kansas.

Responsibilities

• Manage patient care planning and ensure timely patient flow.
• Screen and assess patients for appropriate level of care.
• Improve clinical documentation quality with medical staff.

Skills

Clinical assessment

Financial management

Patient communication

Education

Bachelor Degree Nursing

Master Degree Nursing

Job description

Access Case Manager - Utilization Review (Evergreen)

Job ID: R-26957 Job Type: Full time Location: Kansas City, Kansas

Position Summary / Career Interest:

**Part Time Weekend Shift Available**The Access Case Manager (CM), under the direction of the Director/Manager of Case Management functions as a member of the interdisciplinary healthcare team in the provision of patient care with the underlying objectives of enhancing the quality of clinical and financial outcomes and patient satisfaction while managing the plan of care. Within the purview of financial management, pro-actively communicates with members of the healthcare team to ensure appropriate medical necessity for patients in beds; Serves as an effective liaison to ensure continuity and integration of services and accurate assignment of patient status. Communicates with payers and patient/family/healthcare team regarding payer information as necessary. Ensures that patient care moves through the continuum in a timely and efficient manner.


Responsibilities and Essential Job Functions

• Accepts responsibility and accountability for achievement of optimal outcomes within their scope of practice. Follows policies, procedures and standards; complies with Corporate Compliance program. Assumes responsibility for risk and safety issues associated with the position. Takes call as required by the department expectations. Performs specific job responsibilities and demonstrates accountability for own actions and decisions.
• Acquires and maintains knowledge and competence related to the expectations of their position and practices within their scope. Brings ideas and concerns to supervisor, participates in department decision making. Maintains current licensure.
• Performs high level screening, assessment, and planning to enhance and support Direct Admission, Transfer Center, and procedural area patient flow.
• Appropriately screens patients for level of care (LOC) and ensure clinical information in the medical record is clear and accurately reflects LOC requested.
• Partners with medical staff to improve overall quality of the clinical documentation and establish accurate assignment of patient status orders (e.g., Observation/Inpatient).
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• Bachelor Degree Nursing
• 2 or more years clinical experience

Preferred Education and Experience

• Master Degree Nursing
• 2 or more years clinical experience in health care setting

Required Licensure and Certification

• Licensed Registered Nurse (LRN) - Single State - State Board of Nursing Registered Nurse in State of Kansas

We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.

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Job Category

Location

• Nursing, Kansas City, Kansas, United States Remove