Case Analyst

University of Utah Health; Salt Lake City (UT); On-site; USD 52,000 - 76,000; Full time

Job summary

University of Utah Health is seeking a case manager to coordinate services under the direction of physicians and clinical teams. The role focuses on advocating for patients, aligning care plans, and ensuring clear communication among families, referring providers, payers, and the care team.

The position emphasizes compassionate, patient-centered service, with responsibilities including arranging financial resources, developing care plans, and facilitating timely evaluations and team conferences

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 within 30 days of hire.

Responsibilities

• 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.
• Establishing and maintaining good relationships with referring physicians, third party payers and community agencies.
• Facilitates involvement of team members, timely completion of evaluations and reports, and scheduling of team conferences.
• Maintains contact with patient families 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 discharge plan.

Skills

Organizational skills

Communication skills

Care coordination

Lifespan development knowledge

Payer liaison

Education

Bachelor's degree in clinical field/health care

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

• 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 recommends 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

• 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.

Preferred Qualifications

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

Working Conditions and Physical Demands

• 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

Listening, Sitting, Speaking, Standing, Walking