Job Summary

A health insurance company is seeking a Telecommute Pediatrics Utilization Management Case Manager.

Must be able to:

• Provide case management services for assigned member caseloads
• Perform risk-identification, preadmission, concurrent, and retrospective reviews
• Monitor assigned case load to meet performance metric requirements

Qualifications for this position include:

• RN, LPN, LMSW, LMHC, LMFT and/or LCSW license
• Intermediate Outlook, Basic Word, Excel, PowerPoint, Adobe Acrobat skills
• Demonstrated critical thinking and assessment skills to ensure member care plans are followed
• Demonstrated professional writing, electronic documentation, and assessment skills