Job Description

Acute Utilization Review Case Manager

Cancer care is all we do

Hope in healing

Cancer Treatment Centers of America® (CTCA®) takes a unique and integrative approach to cancer care. Our patient-centered care model is founded on a commitment to personalized medicine, tailoring a combination of treatments to the needs of each individual patient. At the same time, we support patients’ quality of life by offering therapies designed to help them manage the side effects of treatment, addressing their physical, spiritual and emotional needs, so they are better able to stay on their treatment regimens and get back to life. At the core of our whole-person approach is what we call the Mother Standard® of care, so named because it requires that we treat our patients, and one another, like we would want our loved ones to be treated. This innovative approach has earned our hospitals a Best Place to Work distinction and numerous accreditations. Each of us has a stake in the successful outcomes of every patient we treat.

Job Description:

Schedule: Monday-Friday: 8:00am - 4:30pm; Required call rotation on weekends.

Job Overview

Provides, coordinates and facilitates patient discharge planning in collaboration with other healthcare professionals during hospitalization.  Assists with organizing services across provider lines, between people and systems to affect optimal patient outcomes, achieve continuity of care and reduce costs.  Serves as a utilization management resource to determine appropriateness of admission, level of care and continued stay.  Maintains a working knowledge of Medicare and private insurance companies and ensures that quality of care is maintained or surpassed by collecting quality indicators and variance data and reporting data to appropriate person(s) and/or department(s). Performs other duties as assigned and accepts new tasks as opportunities for growth.

Job Qualifications

  • 1-year experience as a Case Manager and /or Utilization Review RN or similar role is required, 2 years of Case Management experience with 2 years of Oncology experience/knowledge preferred
  • ADN in Nursing is required, BSN in Nursing
  • Current Arizona RN Licensure is required
  • American Heart Association (AHA) *Basic Life Support (BLS) provider card or ability to obtain the card within 30 days of hire
  • Knowledgeable and able to navigate computer-based applications such as Microsoft products, review software and the electronic medical record
  • Certified Case Manager; Certified Managed Care Nurse is preferred
  • Knowledge of ICD and PCT coding preferred

Additional Qualifications:

  • Sitting ,Frequent Crawling, Occasional Walking, Occasional Neck Twisting, Occasional Simple Grasping, Occasional Standing, Occasional Climbing
  • Occasional Kneeling, Frequent Waist Bending, Occasional Talking, Frequent Reach Above Shoulder, Occasional Squatting, Frequent Reaching at or Below Shoulder
  • Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body. Sedentary work involves sitting most of the time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

We win together

Each CTCA employee is a Stakeholder, driven to make a true difference and help win the fight against cancer. Each day is a challenge, but this unique experience comes with rewards that you may never have thought possible. To ensure each team member brings his or her best self, we offer exceptional support and immersive training to encourage your personal and professional growth. If you’re ready to be part of something bigger and work with a passionate, dynamic group of care professionals, we invite you to join us. 

Visit:  Jobs.cancercenter.com to begin your journey.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

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