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All Job Postings will close at 12:01 a.m. CT on the specified Closing Date (if designated).

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Closing Date:

09/09/2024

Type of Position:

Management - Operations

Job Type:

RegularDay Shift (United States of America)No

Institution Name:

University of Arkansas for Medical Sciences

The University of Arkansas for Medical Sciences (UAMS) has a unique combination of education, research, and clinical programs that encourages and supports teamwork and diversity. We champion being a collaborative health care organization, focused on improving patient care and the lives of Arkansans.
 

UAMS offers amazing benefits and perks (available for benefits eligible positions only):

• Health: Medical, Dental and Vision plans available for qualifying staff and family
• Holiday, Vacation and Sick Leave
• Education discount for staff and dependents (undergraduate only)
• Retirement: Up to 10% matched contribution from UAMS
• Basic Life Insurance up to $50,000
• Career Training and Educational Opportunities
• Merchant Discounts
• Concierge prescription delivery on the main campus when using UAMS pharmacy

Below you will find the details for the position including any supplementary documentation and questions you should review before applying for the opening.  To apply for the position, please click the Apply link/button.

The University of Arkansas is an equal opportunity, affirmative action institution. The University does not discriminate in its education programs or activities (including in admission and employment) on the basis of age, race, color, national origin, disability, religion, marital or parental status, protected veteran status, military service, genetic information, or sex (including pregnancy, sexual orientation, and gender identity). Federal law prohibits the University from discriminating on these bases. Questions or concerns about the application of Title IX, which prohibits discrimination on the basis of sex, may be sent to the University's Title IX Coordinator and to the U.S. Department of Education Office for Civil Rights.

Persons must have proof of legal authority to work in the United States on the first day of employment.

All application information is subject to public disclosure under the Arkansas Freedom of Information Act.

At UAMS we value Diversity, Equity and Inclusion.
 

For general application assistance or if you have questions about a job posting, please contact Human Resources at [email protected].

Department:

ICE | CORE PA IP Care Management 2 IP C

Department's Website:

Summary of Job Duties:

The RN Care Manager - Utilization Review (UR) is responsible for utilizing pre-established, evidence based screening criteria to validate the appropriateness of patient admissions, provide screening, and continuous observation status monitoring. The RN Care Manager UR is also responsible for communicating relevant information to appropriate payer carriers regarding a patient’s stay. The role reflects appropriate knowledge of the RN scope of practice, current state requirements, CMS Conditions of Participation, Patient Bill of Rights, AB 1203 and other Federal or State regulatory agency requirements specific to discharge planning.

Qualifications:

Minimum Qualifications:

• Baccalaureate Degree, ADN, or Diploma RN Degree;

• 3 years RN experience with current BLS certification.

• Valid Arkansas Registered Nursing License

Preferred Qualifications:

• BSN

• Certified Case Manager (CCM) or American Case Management (ACM) certification

Additional Information:

Responsibilities:

• Initiates appropriate referrals to internal and external interdisciplinary teams.

• Establishes a working diagnosis on every patient at the time of the initial review.

• Communicates the target length of stay and estimated discharge on every patient at the time of the initial review and coordinates the discharge planning process in collaboration with the interdisciplinary team.

• Documents all team, physician, and payer communication and concerns pertaining to coordinating of care and services.

• Responsible for utilizing pre-established evidence-based screening criteria to validate the appropriateness of patient admission and provide appropriate screenings of the patients assigned to a designated coverage area, including initial, continued stay and completion of discharge screens.

• Communicates with physicians regarding the level of care or admission status when appropriate criteria are not met for inpatient, observation, or continued stay review.

• Escalates appropriate cases to Physician Advisor for secondary review process.

• Escalates payer denial/appeal issues to the Physician Advisor/CMO/Attending in a timely fashion.

• Other duties as assigned to meet UAMS core values and the business needs of the department.

Salary Information:

Commensurate with education and experience

Required Documents to Apply:

List of three Professional References (name, email, business title), ResumeProof of Veteran Status

Special Instructions to Applicants:

Please contact [email protected] for any recruiting related questions.

All application materials must be uploaded to the University of Arkansas System Career Site https://uasys.wd5.myworkdayjobs.com/UASYS  

Please do not send to listed recruitment contact.

Pre-employment Screening Requirements:

Annual TB Screening, Criminal Background Check, Substance Abuse Testing

This position is subject to pre-employment screening (criminal background, drug testing, and/or education verification). A criminal conviction or arrest pending adjudication alone shall not disqualify an applicant except as provided by law. Any criminal history will be evaluated in relationship to job responsibilities and business necessity.  The information obtained in these reports will be used in a confidential, non-discriminatory manner consistent with state and federal law. 

Constant Physical Activity:

Sitting

Frequent Physical Activity:

Feeling, Hearing, Manipulate items with fingers, including keyboarding, Reaching, Repetitive Motion, Talking

Occasional Physical Activity:

Balancing, Crouching, Pulling, Pushing, Reaching, Stooping, Walking

Benefits Eligible:

Yes