RN Case Manager: Care Coordination & Utilization Expert

Healthcare Outcomes Performance Co. (HOPCo); Phoenix (AZ); On-site; USD 63,000 - 85,000; Full time

Benefits offered by this job

Competitive Health & Welfare Benefits

Monthly stipend for ancillary benefits

401k plan with company match

Employee Assistance Program available 24/7

Employee Appreciation Days

Free Lunch Fridays

Job summary

Healthcare Outcomes Performance Co. (HOPCo) in Phoenix, Arizona, is hiring a Case Manager/Utilization Review Nurse. This role involves collaborating with patients and physicians to coordinate patient-centered care and facilitate transitions in care.

The ideal candidate should have an Associate Degree in Nursing (ADN) and a current Arizona RN license, alongside experience in case management. The position offers a robust benefits package and a dynamic work environment.

Qualifications

• Three to five years of clinical experience in a direct patient care setting required.
• Experience in case management or utilization management is required.
• A current and unrestricted Arizona Registered Nurse (RN) license is mandatory.

Responsibilities

• Conduct concurrent and retrospective reviews of patient medical records.
• Assess admission criteria applying standardized clinical guidelines.
• Issue pre-authorizations for procedures and medications.
• Facilitate communication between medical staff and payers.

Skills

Patient Assessment

Care Coordination

Discharge Planning

Communication

Clinical Guideline Application

Education

Associate Degree in Nursing (ADN)

Bachelor of Science in Nursing (BSN)

Job description

Healthcare Outcomes Performance Co. (HOPCo) in Phoenix, Arizona, is hiring a Case Manager/Utilization Review Nurse. This role involves collaborating with patients and physicians to coordinate patient-centered care and facilitate transitions in care.

The ideal candidate should have an Associate Degree in Nursing (ADN) and a current Arizona RN license, alongside experience in case management. The position offers a robust benefits package and a dynamic work environment.