COORD - CASE MGMT/UTILIZ REV

SKILLS, ABILITIES AND COMPETENCIES:

• Current knowledge of utilization management, care coordination and utilization review processes.
• Knowledge of or the ability to learn financial management related to UR function and reporting quality and improvement processes.
• Ability to effectively monitor, evaluate resources utilized of each assigned area and make substantial recommendations regarding resource allocation needs for future planning.
• Ability to effectively communicate in writing and verbally
• Ability to analyze information and problem solve.
• Demonstrate evidence of strong skills in confidentiality, integrity, creativity and initiative.
• Demonstrates the ability to interact with a wide variety of individuals and handle complex and confidential sensitive situations.
• Proficient in the use of computer and multiple software programs.
• Ability to identify trends through analysis of practices to improve the overall utilization of resources and cost containment and communicate those trends found through analytical study using a variety of reporting mediums.
• Ability to perform utilization review, assist and coordinate appeal efforts in a timely fashion.
• Ability to represent UM in Medical Staff Committees as assigned.
• Ability to perform related work as required and assigned.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

EDUCATION REQUIREMENTS:

• Minimum of 5 years of recent clinical experience
• Associate or Bachelor degree in nursing or related field
• Experience in acute clinical case management and/or utilization review

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.