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:-

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

VIVA USA Inc. jobs

UMCM Coordinator I- Remote