Position: UMCM Coordinator I- Remote
Job type: Remote ... Location: Remote in NM
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.
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.
Note :
This is remote in NM
