RN Case Manager

About The Company
Utah Retirement Systems provides financially sound retirement and 401(k)/457 investment benefits, as well as comprehensive health and dental, disability, and life insurance benefits to active and retired Utah public employees and their beneficiaries.


Job Description
Performs a variety of complex duties related to medical case management. Coordinates and provides upper level clinical review for all complex and catastrophic cases.
Division: PEHP
Dept: Quality & Benefits
Op Unit: Case Management
Required Experience
Requires considerable knowledge of medical case management procedures and processes; community resources; insurance benefits and coding; PC/Computer operations and various program applications. Requires strong problem solving and negotiating skills. Must have the ability to interpret clinical information and assess implications for treatment. Must possess good interpersonal communication skills, both verbal and written. Must have the ability to work independently and deal effectively with workload and time deadlines. Must be well organized and be able to manage several projects at one time.


Degree Requirements
Registered Nurse

Discipline
Registered Nurse (RN): and a minimum of five (5) years of combined experience in a broad spectrum of nursing, utilization review, and/or medical case management; or an equivalent combination of education and experience.

Physical Requirements

·  Physical effort is not unusual or strenuous and does not require lifting of over 20 lbs. ·  Job requires no travel, with no observable hazards or threat to health or safety, and in a typical office setting with appropriate climate controls.

In addition to excellent career opportunities, URS offers highly-competitive compensation and benefits packages, which include health and dental insurance, life and long-term disability insurance, a noncontributory defined benefit retirement plan, 401(k) and 457 plans, paid time off, on-site fitness facilities, and educational assistance.

URS is an Equal Opportunity Employer.