UMCM Coordinator I
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The Opportunity
Description
We're looking for an UMCM Coordinator I, working in Insurance industry in Albuquerque.- 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.
Our Client
Our client is a fast-growing industry-recognized staffing firm. Recruiting critical IT, Financial, Engineering, Healthcare, and Data Analytics talent. With 20+ years’ experience and growth.
Connections in Automotive, Healthcare, Retail, Financial & Insurance, and Professional & Business Services. Working to bring top talent together with premier organizations.
Big enough to have great opportunities. Small enough to care about finding the right one for you.
It’sabout relationships based on mutual interest. The results are low turnover, long-lasting partnerships and growth. Want to work for a company invested in your success?
Experience Required for Your Success
- Registered Nurse (RN) or Licensed Practical Nurse (LPN) 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 HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
Preferred
- 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
What Do You Think?
Does your experience reflect what it takes to be successful in this role? Do the work and challenges get you excited about what's possible?
Apply Now
