Case Manager: Discharge & Utilization Review

Conway Regional Health System; Conway (AR); On-site; USD 60,000 - 80,000; Full time

Job summary

Conway Regional Health System in Conway, Arkansas is seeking a dedicated Registered Nurse or Licensed Practical Nurse to provide discharge planning and utilization review services. This position requires a current active license in Arkansas, a high level of nursing education, and preferably at least one year of experience in case management/utilization review. Responsibilities include analyzing patient information and ensuring compliance with medical necessity reviews. The role is designated as a Safety Sensitive Position as per state regulations.

Qualifications

• Registered Nurse or Licensed Practical Nurse with a current active license in Arkansas.
• Proof of the highest level of nursing education achieved is required.
• At least one-year experience in case management/utilization review preferred.

Responsibilities

• Determine appropriate acuity levels and utilization through chart review.
• Organize workflow to complete assignments in a timely manner.
• Maintain medical records in compliance with policies.
• Analyze patient information for admission necessity.

Skills

Clinical knowledge

Data analysis

Workflow organization

Communication

Education

Current active nursing license in Arkansas

Highest level of nursing education

Job description

Conway Regional Health System in Conway, Arkansas is seeking a dedicated Registered Nurse or Licensed Practical Nurse to provide discharge planning and utilization review services. This position requires a current active license in Arkansas, a high level of nursing education, and preferably at least one year of experience in case management/utilization review. Responsibilities include analyzing patient information and ensuring compliance with medical necessity reviews. The role is designated as a Safety Sensitive Position as per state regulations.