Join our award-winning team at University of Washington Medical Center (UWMC). Among the top medical centers in the United States as rated by U.S. News & World Report, UWMC prides itself on compassionate patient care as well as its pioneering medical advances. UWMC is operated by the University of Washington (UW) and serves as a training site for UW's School of Medicine. The University of Washington is proud to be one of the nation's premier educational and research institutions. Our people are the most important asset in our pursuit of achieving excellence in education, research, and community service. Our staff not only enjoys outstanding benefits and professional growth opportunities, but also an environment noted for diversity, community involvement, intellectual excitement, artistic pursuits, and natural beauty.
We have an opportunity for a part-time Clinical Resources Management (CRM) Case Manager. The CRM Case Manager will: identify clinical indications for admission track hospital events and course in order to justify patient admission and continued stay for payer reimbursement communicate with third party payers regarding patient clinical progress assess and communicate potential reasons for payer denials and attempts to resolve the denial with the team at the time of identification participate in activities of identifying high risk vulnerabilities to the organization use critical thought processes and decision making in monitoring the continuum of care
BSN or equivalent education/experience Knowledge of criteria for patient admission; case management experience 3+ years acute care inpatient nursing experience; previous charge nurse competence Current Washington State RN License
Since this position is hourly, it does not have medical or dental benefits.
Prefer Case Manager Certification or interest in pursuing Prefer experience in reviewing insurance denials and creating appeals
Founded in 1861, the University of Washington is one of the oldest public institutions in the west coast and one of the preeminent research universities in the world. The University of Washington is a multi-campus university comprised of three different campuses: Seattle, Tacoma, and Bothell. The Seattle campus is made up of sixteen schools and colleges that serve students ranging from an undergra...duate level to a doctoral level. The university is home to world-class libraries, arts, music, drama, and sports, as well as the highest quality medical care in Washington State and a world-class academic medical center. The teaching and research of the University’s many professional schools provide undergraduate and graduate students the education necessary toward achieving an excellence that will serve the state, the region, and the nation. As part of a large and diverse community, the University of Washington serves more students than any other institution in the Northwest.