Case Analyst

Utah; Salt Lake City (UT); On-site; USD 60,000 - 80,000; Full time

Job summary

University of Utah Health seeks a care coordinator to align services with physician guidance and case management. The role ensures clear communication among patients, families, payers, and care teams, while supporting the development of effective care plans.

Ideal candidates hold a Bachelor's in a clinical field, possess two years of case management experience with third-party payers, and have an active eCredential within 30 days of hire.

Qualifications

• Bachelor's degree in a clinical area, health care administration, a related field, or equivalency.
• Two years of experience in case management activities with third party payers.
• Current RQI Healthcare Provider eCredential through the University of Utah Health RQI system; to be obtained within 30 days of hire.

Responsibilities

• Coordinate services as directed by the attending physician, referring physician, and clinical case manager.
• Oversee delivery of individualized services to patients and families; facilitate communication among patients, families, referral providers, payers and the health care team.
• Develop and implement a care plan with the health care team; assist social workers and case managers with resources.

Skills

Communication skills

Organizational skills

Customer service

Multilingual (welcomed)

Education

Bachelor's degree in clinical field or related

Job description

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 requires a culture of collaboration, excellence, leadership, and respect. University of Utah Health seeks staff that are committed to the values of compassion, collaboration, innovation, responsibility, integrity, quality and trust that are integral to our mission. EO/AA

This position coordinates services as directed by the attending physician, referring physician and clinical case manager. The incumbent oversees the delivery of individualized services to patients and families and is responsible for facilitating open and accurate communication among patients, their families, referral providers, payers and the overall health care team.

Corporate Overview: The University of Utah is a Level 1 Trauma Center and is nationally ranked and recognized for our academic research, quality standards and overall patient experience. Our five hospitals and eleven clinics provide excellence in our comprehensive services, medical advancement, and overall patient outcomes.

Responsibilities

Essential Functions

• Functions as the patient advocate to facilitate effective communication and appropriate treatment.

• Orients the patient to the Health Sciences Center program.

• Works with the health care team and patient in the development and implementation of a care plan.

• Advises patients and families regarding financial matters and assists social workers and case managers in accessing financial and community resources.

• Assists in establishing and maintaining good relationships with referring physicians, third party payers and community agencies.

• Facilitates the involvement of team members, timely completion of evaluations and reports, and the scheduling of team conferences.

• Maintains contact with patient families in order to facilitate active involvement and knowledge of patient progress.

• Contacts payers and submits reports regarding the patient's initial assessment, expected outcome, expected cost and then recommendeds a discharge plan.

• Ensures the payer is represented in staffing conferences when requested.

Knowledge / Skills / Abilities

• Ability to perform the essential functions of the job as outlined above.

• Demonstrated organizational, human relations and effective communication skills.

• Ability to provide care appropriate to the population served.

• Demonstrated knowledge of the principles of life span growth and development.

• Ability to assess data regarding the patient's status and provide care as described in the department's policies and procedures manual.

Qualifications

Required

• Bachelor's degree in a clinical area, health care administration, a related field, or equivalency.

• Two years of experience in case management activities with third party payers.

Licenses Required

• Current RQI Healthcare Provider eCredential through the University of Utah Health RQI system. The eCredential is to be obtained within 30 days of hire.

* Additional license requirements as determined by the hiring department.

Qualifications (Preferred)

Preferred

• Current licensure to practice in a clinical field may be preferred.

Working Conditions and Physical Demands

Employee must be able to meet the following requirements with or without an accommodation.

• This is a sedentary position that may exert up to 10 pounds and may lift, carry, push, pull or otherwise move objects. This position involves sitting most of the time and is not exposed to adverse environmental conditions.

Physical Requirements

Carrying, Climbing, Color Determination, Crawling, Far Vision, Lifting, Listening, Manual Dexterity, Near Vision, Pulling and/or Pushing, Reaching, Sitting, Speaking, Standing, Stooping and Crouching, Tasting or Smelling, Walking

Multi-lingual Candidates Welcomed

EEO Statement

University of Utah Health Hospitals and Clinics, a part of The University of Utah, values candidates who have experience working in settings with students and patients from all backgrounds and possess a strong commitment to improving access to higher education and quality healthcare for historically underrepresented students and patient populations.

All qualified individuals are encouraged to apply. Veterans’ preference is extended to qualified applicants, upon request and consistent with University policy and Utah state law. Upon request, reasonable accommodations in the application process will be provided to individuals with disabilities.

University of Utah Health Hospitals and Clinics, a part of The University of Utah, is an Affinity Action/Equal Opportunity employer and does not discriminate based upon race, ethnicity, color, religion, national origin, age, disability, sex, sexual orientation, gender, gender identity, gender expression, pregnancy, pregnancy-related conditions, genetic information, or protected veteran's status. The University does not discriminate on the basis of sex in the education program or activity that it operates, as required by Title IX and 34 CFR part 106. The requirement not to discriminate in education programs or activities extends to admission and employment. Inquiries about the application of Title IX and its regulations may be referred to the Title IX Coordinator, to the Department of Education, Office for Civil Rights, or both.

To request a reasonable accommodation for a disability, please contact the University of Utah Health Hospitals and Clinics Human Resources office at 801-581-6500. If you or someone you know has experienced discrimination or sexual misconduct including sexual harassment, you may contact the Director/Title IX Coordinator in the Office of Equal Opportunity (OEO). More information, including the Director/Title IX Coordinator's office address, electronic mail address, and telephone number can be located at: www.utah.edu/nondiscrimination/ Online reports may be submitted at oeo.utah.edu.

The University is a participating employer with Utah Retirement Systems (“URS”). Eligible new hires with prior URS service, may elect to enroll in URS if they make the election before they become eligible for retirement (usually the first day of work). Contact Hospitals and Clinics Human Resources at [phone] for information. Individuals who previously retired and are receiving monthly retirement benefits from URS are subject to URS’ post-retirement rules and restrictions. Please contact Utah Retirement Systems at [phone] or [phone] or Hospitals and Clinics Human Resources at [phone] if you have questions regarding the post-retirement rules.

This position may require the successful completion of a criminal background check and/or drug screen.