Licensed Utilization Management Case Manager
A company is looking for a UM Case Manager. Key Responsibilities: Coordinate care plans, including pre-certification, concurrent review, and discharge planning for assigned members Document all determinations and interventions in accordance with established standards and guidelines Function as a clinical resource for the care team to enhance member care quality and manage medical costs Required Qualifications: RN, LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST license For CASAC positions: Credentialed Alcohol and Substance Abuse Counselor Master's degree in a related discipline (preferred) Experience in managed care and case management Knowledge of CMS or NYSDOH regulations (preferred)
A company is looking for a UM Case Manager.
Key Responsibilities:
Coordinate care plans, including pre-certification, concurrent review, and discharge planning for assigned members
Document all determinations and interventions in accordance with established standards and guidelines
Function as a clinical resource for the care team to enhance member care quality and manage medical costs
Required Qualifications:
RN, LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST license
For CASAC positions: Credentialed Alcohol and Substance Abuse Counselor
Master's degree in a related discipline (preferred)
Experience in managed care and case management
Knowledge of CMS or NYSDOH regulations (preferred)
