What are the responsibilities and job description for the UMCM Coordinator position at Qualified Recruiter?
Job Summary:
This contract role as a Remote UMCM Coordinator I is responsible for performing concurrent review in accordance with accepted department criteria.
Job Description:
One of the largest health insurers in the nation is focused on continuously building an industry-defining, world-class IT capability. Healthcare is forever evolving, especially due to emerging technologies, making this a great experience to add to your resume. Come join their winning team!
This contract role as a Remote UMCM Coordinator I is responsible for performing concurrent review in accordance with accepted department criteria.
Responsibilities:
- Perform concurrent reviews in accordance with accepted department criteria.
- Perform discharge planning and identify alternate treatment programs.
- Conduct episodic case management, consulting, and collaborating with providers, members, and other resources as appropriate.
- Assess, plan, and implement options and services required to meet an individual’s health needs within the scope of their benefit plan.
Job Requirements:
- Registered Nurse (RN) with a 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.
Job Type: Contract
Pay: $35.00 - $40.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Schedule:
- Day shift
Work Location: Remote
Salary : $35 - $40
