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 position oversees individualized services for patients and families and facilitates open, accurate communication among patients, families, referral providers, payers, and the health care team. University of Utah Health is a patient-focused organization committed to enhancing health and well-being through patient care, research, and education. Its five hospitals and eleven clinics provide comprehensive services and are part of a Level 1 Trauma Center recognized for academic research, quality standards, and patient experience.

Requirements

  • Bachelor's degree in a clinical area, health care administration, a related field, or equivalent.
  • 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.
  • Knowledge of life span growth and development principles.
  • Ability to assess data regarding patient status and provide care in accordance with the department's policies and procedures.

Nice To Haves

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

Responsibilities

  • Advocate for patients to facilitate effective communication and appropriate treatment.
  • Orient patients to the Health Sciences Center program.
  • Work with the health care team and patient to develop and implement a care plan.
  • Advise patients and families on financial matters and assist social workers and case managers in accessing financial and community resources.
  • Establish and maintain good relationships with referring physicians, third-party payers, and community agencies.
  • Facilitate team member involvement, timely completion of evaluations and reports, and scheduling of team conferences.
  • Maintain contact with patient families to facilitate active involvement and awareness of patient progress.
  • Contact payers and submit reports on the patient's initial assessment, expected outcome, expected cost, and recommended discharge plan.
  • Ensure payer representation in staffing conferences when requested.
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