Work in Iowa Healthcare Jobs

Employment Type:

Part time

Shift:

Day Shift

Description:

Position Purpose:

The Utilization Review Case Manager responsibilities include case screening, insurance approval, assurance of timely services, and facilitation of discharge with transition to the appropriate services. Assists the organization in ensuring compliance with CMS rules and regulations and conditions of participation as well as commercial payer specific guidelines to prevent denials and revenue loss. Patient outcomes are achieved through effective application of care plans, managed care concepts, appropriateness criteria, resource management, knowledge of community resources, and collaboration with other clinical disciplines.

Hours/Schedule:

PRN/ As needed/ no weekends or holidays

Minimum Qualifications:

Education

• Licensed registered nurse in the state of Iowa.

• Bachelor's Degree required. BSN preferred

• Utilization management focused certifications that are recognized in the state of Iowa preferred

Experience:

• Five years of experience as a registered nurse involving community contact, knowledge of managed care, resource utilization criteria, Medicaid, insurance coverage for acute care and skilled care

• Case management experience preferred

Position Highlights and Benefits:

• Education Assistance offered

• Effective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greater

• Competitive wages; including weekend and night differentials

• Generous paid time off program

• Retirement Savings program with employer match starting on Day 1

Ministry/Facility Information:

MercyOne North Iowa Medical Center provides expert health care to 15 counties.

MercyOne North Iowa Medical Center (https://www.mercyone.org/northiowa/find-a-location/location-results) is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center (https://www.mercyone.org/location/mercyone-new-hampton-medical-center-1) is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000.

With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region.

MercyOne Medical Group – North Iowa is part of Iowa’s largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran