State Licensed Utilization Management Coordinator

A company is looking for a UM Coordinator. Key Responsibilities Oversee day-to-day operations of the Healthcare Management Program, including medical necessity reviews for hospital admissions Coordinate discharge planning and identify alternative care interventions based on quality and cost-effectiveness Assist in preparing reports on quality of service and utilization statistics, and participate in Quality Improvement initiatives Required Qualifications Active unrestricted Registered Nurse license Minimum of two years clinical nursing and/or managed care experience Experience in Utilization Management or Case Management preferred Ongoing compliance with continuing education requirements Ability to work in a remote environment while residing in specified states

Mar 12, 2025 - 21:19

A company is looking for a UM Coordinator. Key Responsibilities Oversee day-to-day operations of the Healthcare Management Program, including medical necessity reviews for hospital admissions Coordinate discharge planning and identify alternative care interventions based on quality and cost-effectiveness Assist in preparing reports on quality of service and utilization statistics, and participate in Quality Improvement initiatives Required Qualifications Active unrestricted Registered Nurse license Minimum of two years clinical nursing and/or managed care experience Experience in Utilization Management or Case Management preferred Ongoing compliance with continuing education requirements Ability to work in a remote environment while residing in specified states