HCA, Hospital Corporation of America RN Case Manager PRN in Brigham City, Utah

Position is responsible for reviewing patient case loads for admission appropriateness and continued stay necessity from a clinical and reimbursement standpoint, ensuring appropriate billing status and insurance approvals. Assists staff with compliance to federal, state and accreditation regulations.

  • Ensures admission appropriateness for patient case loads from a clinical and insurance standpoint for reimbursement purposes, obtains insurance continued authorization.
  • Monitors patient care needs and available hospital services to avoid under and over utilization of resources.
  • Contacts physicians as needed to review patients with questionable lengths of stay or other inappropriate admissions information.

  • Requires a RN registered in the State of Utah with five years of medical and surgical nursing experience.

Title: RN Case Manager PRN

Location: Utah-Brigham City-Brigham City Community Hospital

Requisition ID: 00079-32681