Job: Nurse Case Manager - Care Management

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Job Description

Care Management

Full Time


Job Details:
  • Job Summary:

    The primary purpose of the Case Manager - RN position is to assess, plan and evaluate the care of a designated caseload of patients for the purpose of assuring the achievement of clinical and financial outcomes.

    IDEAL CANDIDATE WILL POSSESS THE FOLLOWING: Unique experience in denials, MDS, commercial insurance care management and coding/CDI.


    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed must be representative of the knowledge, skills, minimum education, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Graduate of a nationally accredited Nursing program.
  • BSN preferred.
  • State of Idaho Registered Nurse or licensure pending as documented by temporary licensure OR current RN licensure from a state participating in the "mulitstate privilege to practice" compact with Idaho.
  • 3 years clinical experience required.
  • Utilization Review, Case Management experience preferred.
  • Demonstrate knowledge of laws or regulations pertaining to the utilization review, reimbursement programs, quality and financial outcomes of patient care processes preferred.
  • BLS Required. Current AHA Healthcare provider, American Red Cross, AHA Health Saver or Kootenai Health BLS within 60 days of hire.

    • Intermittent sitting and walking throughout scheduled shift.
    • Ability to lift up to 25 pounds.
    • Frequent stooping, bending, reaching, lifting when filing and accessing records.
    • Read charts, dials, equipment settings, literature and other printed and handwritten materials.
    • Communicate with patients, physicians, families and co-workers in person and on telephone.
    • Work with equipment and manipulate equipment settings, computer keyboard, etc.


    • Kootenai Health operates 24 hours per day each day of the year, operational needs of departments may require that you be available to work all shifts, weekends and holidays to meet the needs of the patients.
    • Work is normally performed in a typical interior work environment.

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