This Job Vacancy has Expired!

Care Coordinator UM/CM I

Posted on Nov 15, 2018 by Health Care Service Corporation

Chicago, IL 60701
Design & Creative
Immediate Start
Annual Salary
Full-Time
Description:

BASIC FUNCTION:
This position is responsible for performing concurrent review in accordance with approved departmental guidelines; 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 required to meet an individuals health needs within the scope of their benefit plan.

JOB REQUIREMENTS:
* Registered Nurse (RN) with current, valid, unrestricted 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 HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:
* Familiarity with UM/CM activities and standardized criteria set.
* Knowledge of ancillary services including HHC, SNF, Hospice, etc.BASIC FUNCTION:
(RETAIL)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. JOB 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 HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

PREFERRED JOB REQUIREMENTS:
* Familiarity with UM/CM activities and standardized criteria set.
* Knowledge of ancillary services including HHC, SNF, Hospice, etc.

Location: IL - Chicago
Activation Date: Tuesday, October 30, 2018
Expiration Date: Saturday, November 17, 2018

Reference: 570231947