Case Analyst

University of Utah Health•Salt Lake City, UT

About The Position

The Case Analyst coordinates services as directed by the attending physician, referring physician, and clinical case manager. The role oversees individualized services for patients and families and facilitates open, accurate communication among patients, families, referral providers, payers, and the health care team. The Case Analyst serves as a patient advocate, helps develop and implement care plans, and supports patients and families with financial matters and access to financial and community resources. The position coordinates evaluations, reports, team conferences, and payer communications, including providing assessment and outcome information and recommended discharge plans.

Requirements

  • Bachelor's degree in a clinical area, health care administration, a related field, or equivalency.
  • Two years of experience in case management activities with third-party payers.
  • Current RQI Healthcare Provider eCredential through the University of Utah Health RQI system; must be obtained within 30 days of hire.
  • Additional license requirements as determined by the hiring department.
  • Ability to perform the essential functions of the job.
  • Demonstrated organizational, human relations, and effective communication skills.
  • Ability to provide care appropriate to the population served.
  • Demonstrated knowledge of the principles of life span growth and development.
  • Ability to assess data regarding patient status and provide care as described in the department's policies and procedures manual.

Nice To Haves

  • Current licensure to practice in a clinical field may be preferred.

Responsibilities

  • Functions as a patient advocate to facilitate effective communication and appropriate treatment.
  • Orients patients to the Health Sciences Center program.
  • Works with the health care team and patient to develop and implement a care plan.
  • Advises patients and families regarding financial matters and assists social workers and case managers in accessing financial and community resources.
  • Helps establish and maintain relationships with referring physicians, third-party payers, and community agencies.
  • Facilitates team-member involvement, timely completion of evaluations and reports, and scheduling of team conferences.
  • Maintains contact with patient families to facilitate active involvement and awareness of patient progress.
  • Contacts payers and submits reports regarding the patient's initial assessment, expected outcome, expected cost, and recommended discharge plan.
  • Ensures payer representation in staffing conferences when requested.
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