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Utilization/Case Manager RN
Utilization/Case Manager RNw3r Consulting • Downers Grove, IL, US
No longer accepting applications
Utilization / Case Manager RN

Utilization / Case Manager RN

w3r Consulting • Downers Grove, IL, US
1 day ago
Job type
  • Full-time
Job description

Job Description

Job Title : UM / CM Coordinator

Location : Downers Grove, IL

Contract duration : 6 months

Schedule : 8am to 5pm (M-F)

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 Microsoft Teams precepting. Worker should be able to hit the ground running.
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