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UMCM Coordinator 29123

Company: Solving IT
Location: Albuquerque
Posted on: September 23, 2022

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 UMCM Coordinator in Albuquerque, NM will be 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 individuals health needs within the scope of their benefit plan.Responsibilities: -

  • 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. -Requirements:
    • Register 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. Incumbents with other clinical licenses are not required to obtain multi-state licenses.Preferred Requirements:
      • Familiarity with UM/CM activities and standardized criteria set.
      • Knowledge of ancillary services including HHC, SNF, Hospice, etc.Benefits: - -Solving IT is pleased to offer a rich benefit plan to our W2 employees. We offer five health plan options and a PPO dental plan through Blue Cross Blue Shield, Term Life/AD&D Insurance, and 401(k) Savings Plan. Solving IT subsidizes the health and dental premium for the employee.As you continue to develop your skills and experience, Solving IT will work with your changing preferences to match you with rewarding projects. Our unrivaled reputation for quality is demonstrated through our Inavero Best of Staffing award that was won due to the feedback from our own clients and candidates. We also love to socialize and have fun so we have regularly scheduled parties and events for you to unwind and network with fellow consultants. -Whether you are searching for your next challenge or just looking to stay on top of market trends, Solving IT is committed to help position you appropriately. By leveraging the latest market and compensation data available, you can rest assured that you are getting more than just an informed opinion. You are getting the Solving IT Experience.

Keywords: Solving IT, Albuquerque , UMCM Coordinator 29123, Other , Albuquerque, New Mexico

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