RN Case Manager

Utilization Review Department. Full-time position (36 hours per week). Works Monday through Friday; four nine-hour shifts. Hours are 6:00 am to 3:30 pm OR 7:00 am to 4:30 pm OR 7:30 am to 5:00 pm. Is responsible for coordinating each patient’s hospitalization from preadmission through discharge by assessing the medical appropriateness, quality, and cost-effectiveness in accordance with established criteria and policies. This review activity is performed in collaboration with patients, family, providers, and other professionals and may be conducted prospectively, concurrently, or retrospectively. Provides case management interventions by assessing, monitoring, evaluating options and services to provide an appropriate, individualized plan for each patient across the continuum of care. Must be a Registered Nurse with two years experience in clinical nursing. Previous experience with case management, insurance notification, and Milliman Care guidelines preferred. Computer knowledge required. Must have current Iowa license. Must be a graduate from an approved Professional Nursing program.