Case Manager / RN ER
Company: The University of Kansas Health System St. Francis
Location: Topeka
Posted on: June 25, 2025
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Job Description:
Job Description Overview Join our team as a day shift,
part-time, Case Management Acute Care, Case Manager Registered
Nurse in Topeka, Kansas. Why Join Us? Thrive in a People-First
Environment and Make Healthcare Better - Thrive: We empower our
team with career growth opportunities, tuition assistance, and
resources that support your wellness, education, and financial
well-being. - People-First: We prioritize your well-being with paid
time off, comprehensive health benefits, and a supportive,
inclusive culture where you are valued and cared for. - Make
Healthcare Better: We use advanced technology to support our team
and enhance patient care. Get to Know Your Team: - The University
of Kansas Health System St. Francis Campus, a part of a rich legacy
of compassionate care since 1909, now offers 378 licensed beds, a
history of innovation, and strong community support.
Responsibilities - The Case Manager coordinates care for high
risk/complex patients and families by collaborating with the
patient, family, physician, nurses, and other members of the
healthcare team to identify needs and expedite appropriate, cost
effective care. - Advises the healthcare team and provides
leadership in issues of outcomes management and development of
improved strategies to benefit high risk patients. - Provides
clinical review against standard criteria for the purpose of
evaluating medical necessity, regardless of payor type. - Provides
ongoing communication with health plan utilization departments
regarding medical necessity for prospective, concurrent and
retrospective reviews. - Intervenes when potential denials are
determined and files appeals when denials are received. - Partners
with physician related to resource utilization including LOS and
cost per case. - Reports to the Clinical Resource Management
Director. Qualifications Job Requirements: - Current licensure by
Kansas State Board of Nursing. - Minimum of 3 years as a
professional nurse in direct patient care with demonstrated
clinical expertise. - RN, - BLS Preferred Job Requirements: - BSN -
Current certification as a Care Assessor for the State of Kansas or
obtain within 6 month of hire. - Previous experience as a case
manager or utilization review nurse.
Keywords: The University of Kansas Health System St. Francis, Topeka , Case Manager / RN ER, Healthcare , Topeka, Kansas
