Care Coordinator UM/CM I

Company: Blue Cross and Blue Shield of Illinois, Montana, N
Location: Downers Grove
Posted on: September 16, 2022

Job Description:

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 individual's 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.We encourage people of all backgrounds and experiences to apply. Even if you don't think you are a perfect fit, apply anyway - you might have qualifications we haven't even thought of yet. Location: IL - Downers Grove Activation Date: Wednesday, August 10, 2022 Expiration Date: Saturday, October 1, 2022 Apply Here

Keywords: Blue Cross and Blue Shield of Illinois, Montana, N, Downers Grove , Care Coordinator UM/CM I, Other , Downers Grove, Illinois