Case Manager, Utilization Management (PRN)

Job Description

This position is responsible to the Behavioral Health Administrator.  The position assures quality patient care and effective utilization of BMC resources through the implementation of the Utilization Management (UM) Plan.  The Clinical Case Manager provides utilization management, including initial, concurrent and retrospective reviews.  This position assists and supports providers with managed care denials as a liaison to insurance requirements.  Assistance with appeals is part of the position as well. 

 

Department

Utilization Management

Status

PRN (As Needed)

Shift/Hours

Generally Varies, As-Needed Basis

Qualifications

Current RN License, Bachelor’s degree in a human service field or Master’s Degree in a human service area. Minimum of two (2) plus years of health care experience with hospital setting preferred. Experience with medical or other managed care/insurance reviews. 

Broadlawns Medical Center is an Equal Opportunity Employer.

Deadline

December 10, 2021