Case Management Coordinator I
Company Name:
Health Care Svc Corp
BASIC FUNCTION:
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary, potentially cost effective services; consulting with physicians, providers, members, and other resources to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and services required to meet an individuals health needs, using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.
JOB REQUIREMENTS:
1) Register Nurse (RN) with unrestricted license in state;
2) 3 years clinical practice experience;
3) PC and database experience;
4) Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
1) Familiarity with ancillary services including HHC, SNF;
2) Provider side insurance experience;
3) Familiarity with UM/CM activities and standardized criteria sets. _Job ID #:_ 438591
Location: NM - Albuquerque
Functional Area: Health Care/Nursing
Department: NM Case Mgmt
Position Type: Full-Time Regular
Education Required: Not Indicated
Experience Required: At least 2 years
Relocation Provided:
Posting Expiration Date: May 2, 2014
Req Number: 438591Estimated Salary: $20 to $28 per hour based on qualifications.
Health Care Svc Corp
BASIC FUNCTION:
This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs that provide medically necessary, potentially cost effective services; consulting with physicians, providers, members, and other resources to assess, plan, facilitate implementation, coordinate, monitor and evaluate options and services required to meet an individuals health needs, using communication and available resources to promote quality, cost effective outcomes; serving as liaison to providers, physicians, and members.
JOB REQUIREMENTS:
1) Register Nurse (RN) with unrestricted license in state;
2) 3 years clinical practice experience;
3) PC and database experience;
4) Verbal and written communication skills.
PREFERRED JOB REQUIREMENTS:
1) Familiarity with ancillary services including HHC, SNF;
2) Provider side insurance experience;
3) Familiarity with UM/CM activities and standardized criteria sets. _Job ID #:_ 438591
Location: NM - Albuquerque
Functional Area: Health Care/Nursing
Department: NM Case Mgmt
Position Type: Full-Time Regular
Education Required: Not Indicated
Experience Required: At least 2 years
Relocation Provided:
Posting Expiration Date: May 2, 2014
Req Number: 438591Estimated Salary: $20 to $28 per hour based on qualifications.
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