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RN - Utilization Management Coordinator

Company: All Medical Personnel
Location: Springfield
Posted on: September 12, 2019

Job Description:

Position: RN - Utilization Management Coordinator Location: Springfield, IL Duration: Permanent / Direct Hire / Full-Time Job Information

  • This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services required to meet an individuals health needs within the scope of their benefit plan.
  • Contact list of providers to manage out of network requests by providing alternative in network options.Requirements
    • Registered Nurse (RN) with current, valid, unrestricted clinical license to practice in state of operations.
    • 3 years clinical practice 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 client.
    • Incumbents with other clinical licenses are not required to obtain multi-state licenses.
    • Familiarity with UM/CM activities and standardized criteria set.
    • Knowledge of ancillary services including HHC, SNF, Hospice, etc.For immediate consideration please create a profile and submit your resume through our applicant tracking system. Applications with attached resumes will be given first consideration. Visit us online at allmedical.com/allied-health to learn more about our company and to view additional openings in your area.About Us: All Medical Personnel is a national leader in healthcare staffing and recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our team of seasoned recruiters are experienced in their ability to recruit, screen and place medical professionals for all types of healthcare settings.

Keywords: All Medical Personnel, Springfield , RN - Utilization Management Coordinator, Healthcare , Springfield, Illinois

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