Utilization Management Coordinator - Registered Nurse (RN)
Company: HCSC
Location: Rowlett
Posted on: April 8, 2021
|
|
Job Description:
** Work Schedule for this position **
Tuesday through Saturday OR Wednesday through Sunday
** Hours: 10:00 am to 6:30 pm **
BASIC FUNCTION:
This position is responsible performing initial, concurrent review
activities; discharge care coordination for determining efficiency,
effectiveness and quality of medical/surgical services and serving
as liaison between providers and Medical and Network Management
Divisions. This position reviews service requests, collects
clinical and non-clinical data, verifies eligibility, determines
benefit levels in accordance to contract guidelines, prepares
reports on quality of care, identifies and reports cases, and
provides information regarding utilization management requirements
and operational procedures to members, providers and facilities.
This position will be engaged with Utilization Management
Review.
JOB REQUIREMENTS:
*Registered Nurse (RN) with valid, current, unrestricted license in
The State of Texas.
*3 years of clinical experience in a physician office,
hospital/surgical setting or health care insurance company.
*Knowledge of medical terminology and procedures.
*Verbal and written communication skills.
*Willingness and ability to travel, on a rare occasion, if
needed.
PREFERRED JOB REQUIREMENTS:
* 2+ years of Utilization Management experience is preferred.
* 3 years of clinical experience in various environments including:
acute hospital setting, physician office, LTACH/SNF, home health,
surgical setting or health care insurance company.
* In-patient nursing experience.
* Specialty RN experience - Oncology, NICU, O/R, Cardio, etc. - a
variety of clinical experience is preferred - NOT limited to NICU
or Maternal Health
* Intensive Care and/or Critical Care experience is preferred.
* Case Management, Care Management, Condition Management and/or
Disease Management experience is a plus.
* MCG Certification is a plus.
*CA
#LI-DP1
HCSC is committed to diversity in the workplace and to providing
equal opportunity and affirmative action to employees and
applicants. We are an Equal Opportunity Employment / Affirmative
Action employer dedicated to workforce diversity and a drug-free
and smoke-free workplace. Drug screening and background
investigation are required, as allowed by law. All qualified
applicants will receive consideration for employment without regard
to race, color, religion, sex, sexual orientation, gender identity,
national origin, disability, or protected veteran status.
Requirements:
Expertise Nursing Job Type Full-Time Regular Location OK - Tulsa,
MT - Helena, TX - Richardson, IL - Chicago, NM -
AlbuquerquePandoLogic. Keywords: Utilization Review Coordinator,
Location: Rowlett, TX - 75089
Keywords: HCSC, Rowlett , Utilization Management Coordinator - Registered Nurse (RN), Executive , Rowlett, Texas
Click
here to apply!
|
Didn't find what you're looking for? Search again!
Other Executive JobsAssistant Salon Manager - Kensington Square Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more Company: Great Clips Location: Celina Posted on: 04/13/2021 Restaurant Shift Manager and Team Lead - Dallas $16.50+ Description: Bringin' It - Together-Teamwork isn't just practiced at the Shack - it's perfected. We make each daygreat - together. We create an exciting work atmosphere with a culture focusedon our Company: Shake Shack Location: Dallas Posted on: 04/13/2021 Infection Prevention Manager, CIC Description: The Infection Prevention Manager plans, implements manages, and evaluates a comprehensive hospital infection control program under the direction of infectious diseases and the committee on infections. (more...) Company: Baylor Scott & White Health Location: Waxahachie Posted on: 04/13/2021 Sales and Operations Management Trainee Description: Position Summary: Take charge. Think fast. Move forward. As a Sales and Operations Management Trainee in our fast-paced environment, you will use your hard-earned degree to run a business and quickly (more...) Company: Penske Location: Dallas Posted on: 04/13/2021 Assistant Salon Manager - Frisco Marketplace Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more Company: Great Clips Location: Frisco Posted on: 04/13/2021 Assistant Salon Manager - The Village of Preston Hollow Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more Company: Great Clips Location: Dallas Posted on: 04/13/2021 NAS Account Management Specialist - Irving, TX Description: Company Overview: At ADT Commercial, we are in the business of helping people and organizations to protect what matters most to them. Building upon ADT---s 145-year legacy, we secure the livelihoods and (more...) Company: ADT Security Services Location: Newark Posted on: 04/13/2021 Salon Manager - Frisco Marketplace Description: Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to hire and support other stylists Then let's talk Maybe you're a stylist who wants more responsibility, Company: Great Clips Location: Anna Posted on: 04/13/2021 Fleet Equipment Manager Description: Fleet Equipment Manager About Us At Alliance Radiology, our team members focus on transforming the patient experience and delivering exceptional quality care. Alliance Radiology has rapidly grown over (more...) Company: Alliance HealthCare Services Location: Dallas Posted on: 04/13/2021 Assistant Salon Manager - Pavillion East Center Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more Company: Great Clips Location: Nevada Posted on: 04/13/2021 |