UMCM Coordinator I

This is remote, but may need to be onsite for occasional meetings

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 Product 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 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.