Role OverviewUtilization Management Case Managers work under the direction of the Manager of UM and the AVP of Care Coordination, assessing, planning, implementing, coordinating, monitoring, and evaluating options and services to meet an individual’s health needs.
What You Will Do
Coordinate care for patients across the continuum of ambulatory, hospital, and ancillary services, authorize and monitor admissions and services, identify high-risk patients, and assess the needs of capitated members for durable medical equipment, home health, and skilled nursing placement.
Why It Might Be a Fit
The ideal candidate will have strong clinical knowledge and competence, positive communication skills, problem-solving and conflict resolution techniques, and the ability to effect change.
Requirements
- Utilization Management Case Manager certification
- Clinical knowledge and competence
- Positive communication skills
- Problem-solving and conflict resolution techniques
- Ability to effect change
- Strong skills in assessment, organization, and time management
Benefits
- Dental insurance
- Vision insurance
- Health insurance
- Life insurance
- 401(k) or other retirement plan
- Paid time off
- Paid holidays
]]>