Care Coordinator UM/CM I at Health Care Service Corporation
Albuquerque, New Mexico, USA -
Full Time


Start Date

Immediate

Expiry Date

06 Dec, 25

Salary

60300.0

Posted On

07 Sep, 25

Experience

3 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Analytical Skills, Ancillary Services, Communication Skills, Snf, Operations

Industry

Hospital/Health Care

Description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
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 individuals 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:

  • Saturdays required - rotational schedule
  • Familiarity with UM/CM activities and standardized criteria set.
  • Knowledge of ancillary services including HHC, SNF, Hospice, etc.
Responsibilities

** For acquired employees, employee must have been with the Company and in their current role for at least 12 months following closing of the acquisition. Prior service with the acquired company is not recognized for this purpose.
Additional exceptions may apply in accordance to our union contract with Teamsters 743.

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