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Utilization Management Case Management Coordinator (RN)


Reference Number: KBILUC02

Utilization Management Case Management Coordinator (RN)
experience  Not Disclosed
location  Downers Grove, IL (100% Remote)
duration  6 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Healthcare
duration  $-4/hour - $1/hour
Job Description

Remote

Description:

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.

JOB REQUIREMENTS:

Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.- 3 years of clinical experience - Experience utilizing various software packages.- Verbal and written communication skills-

Analytical skills- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by the client. Incumbents with other clinical licenses are not required to obtain multi-state licenses. This position will have a weekend requirement.

PREFERRED JOB REQUIREMENTS:

Familiarity with UM/CM activities and standardized criteria set.- Knowledge of ancillary services including HHC, SNF, Hospice, etc.
Training is completed through WebEx precepting. Worker should be able to hit the ground running.



Notes:
This is remote


VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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