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UMCM Coordinator

BCVS Group
Albuquerque, NM Full Time
POSTED ON 3/7/2025 CLOSED ON 3/30/2025

What are the responsibilities and job description for the UMCM Coordinator position at BCVS Group?

Position:- UMCM Coordinator

Rate:- $40/hr.
Location:- Fully 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 individual's 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
  • Familiarity with UM/CM activities and standardized criteria set.
  • Knowledge of ancillary services including HHC, SNF, Hospice, etc.

Job Type: Contract

Pay: From $40.00 per hour

Expected hours: 40 per week

Schedule:

  • 8 hour shift

Experience:

  • Clinical Care: 3 years (Required)
  • Case Manager/Utilization Management: 1 year (Preferred)
  • HHC, SNF, Hospice: 1 year (Preferred)

License/Certification:

  • NM State License (Required)

Work Location: Remote

Salary : $40

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