Job Summary
A healthcare provider is in need of a Telecommute Utilization Review Care Manager.
Core Responsibilities of this position include:
- Assisting in development, implementation, and revision of the utilization management program
- Monitoring adherence to the hospital's utilization review plan to ensure effective and efficient use of hospital services
- Maintaining compliancy with regulation changes affecting utilization management
Skills and Requirements Include:
- Bachelor's Degree (Required)
- Three or more years of clinical Experience within hospital or payer setting
- Case Management Certification within first year
- BLS - Basic Life Support - American Heart Association, CPI - Crisis Prevention Intervention - Crisis Prevention Intervention
- Demonstrated success in achieving or exceeding measurable performance criteria in a job setting
- All other requirements necessary for this position
