Job Description

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks
Pay Rate Type: Annual Salary
Location: Clinics

Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.
Min = $91,359.840
Mid = $118,767.792

Summary:

The Case Manager Admissions and Denial Coordinator provides utilization management on all admitted patients for Behavioral Health Hospital. The Coordinator facilitates discharge planning, assists in coordination of patient documentation and processes. 


Responsibilities:

Ensures the discharge planning and medication/order management for designated patients.

Ensures timely documentation in patients' electronic medical records (EMR) and completion of assessments and necessary regulatory documents within 24-48 hours for all assigned patients.

Manages referral forms, applications, and logs within the Case Management department.

Handles Utilization Review and Management, Appeals, Denials, and Peer-to-Peer requests/set-up.

Facilitates high-level communication with providers and staff. Conducts training for new hires on utilization management, documentation, and processes.

Assists with process improvement initiatives and performs audits.

Keeps informed about compliance requirements and updates.

Performs other duties as assigned.


Credentials:
Essential:
* BASIC LIFE SUPPORT (BLS)
* REGISTERED NURSE (RN)

Education:
Essential:
* ASSOCIATE'S DEGREE

Other information:

Minimum Education Required:

Other Information: REQUIRED: 3+ years related experience

Associates Degree

AZ RN license

BLS (AHA)

 

Preferred: Commission for Case Manager Certification (CCME)

Behavioral Health experience-preferred

Why Yuma Regional Medical Center?

Yuma Regional Medical Center (YRMC) is located in Yuma, AZ. Our purpose is building a healthier tomorrow. We strive by putting patients first as they are the center of every decision and action we take. YRMC is rooted in the community by living and breathing the dynamic nature of our region. Being committed to progress by constantly and consistently advancing healthcare, creating meaningful experiences and improving the lives of everyone around us.

Our Values

Bring Kindness | Achieve Together | Aspire For Better | Do The Right Thing | Lead With Optimism |

About Yuma, AZ

Named by the Guinness World Records as the Sunniest City on Earth with winters averaging temperatures of 70 degrees, sunny days and cooler nights.

Yuma, Arizona is a place to explore the great outdoors with hiking, jet skiing, boating and off-roading. Don’t forget to soak up the sun at the great Colorado River or one of Yuma’s many lakes.

Yuma is centrally located in Southwest Arizona, within a short drive to many popular attractions and destinations.

https://www.visityuma.com/

https://www.yumachamber.org/

Bring your skills to one of the sunniest places on earth - Yuma, AZ!

Physical Requirements and working conditions for this position will be provided to you up on interview. 

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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