RN Or LVN Utilization Manager (Remote)

Morgan Stephens El Paso , TX 79907

Posted 4 days ago

Please note that this position required UM and prior remote experience. Remote positions require that you live in Texas.About us:Morgan Stephens represents the nations top healthcare systems offering the highest compensation and benefits to our top candidates. We are created and managed by experienced industry professionals in healthcare. Asa leading provider of contract, contract to perm, and direct placement recruiting services to healthcare organizations throughout the United States, we have successfully served the needs of our employees and clients by placing thousands of quality healthcare professionals into organizations seeking top talent.Open Position:Utilization Management Nurses will work with members of the health plan to review medical requests and insure that proper care is being utilized.JOB RESPONSIBILITIES:Perform utilization management, utilization review, and/or concurrent review for the teamCommunicates with practitioners and members on casesDetermines medical appropriateness of inpatient and outpatient services following evaluation of medical guidelinesFacilitate acquisition of discharge needs including equipment, home health care, etc. on all patients requiring assistanceWork with appropriate staff to arrange and coordinate transportation into plan-approved facilities from out-of-network facilities as neededMaintain contact with facilities/providers treating health plan members in order to coordinate care and discharge planning; Collaborate with the appropriate entity to manage and resolve quality assurance/risk management concernsThoroughly document all activity in the utilization/case management documentation system.JOB REQUIREMENTS:Current RN or LVNCurrent working knowledge of Utilization management, performance improvement and reimbursement issues is preferred. Utilization review, Case Management, appeals, denials, managed care contracting experience preferred.Requires excellent observation skills, analytical thinking and problem-solving as well as excellent communication skillsFor More Information:
Visitwww.morganstephens.comTwitter:www.twitter.com/morganstephens0Instagram:www.instagram.com/morganstephens0/Facebook:www.facebook.com/MorganStephens0Email:info@morganstephens.comMorgan Stephens ofrecemos reclutadores que hablan Espanol
icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Clinical Liaison RN LVN LPN OT PT SLP RT SW Full Time

Vibra Healthcare Inc.

Posted 2 weeks ago

VIEW JOBS 4/25/2021 12:00:00 AM 2021-07-24T00:00 Lookout…Here We Grow Again! COME BUILD YOUR CAREER WITH VIBRA + ERNEST! Our culture fosters engagement, diversity and advocacy. Our goal is to empower our employees and support them in their professional growth while leading them on a path to success within our organization. Highlands Regional Rehabilitation Hospital is seeking a Full Time Clinical Liaison to join our team! Highlands Rehab Hospital, located in El Paso, TX, is a 41 bed inpatient rehab, providing rehabilitative services to people recovering from disabilities caused by injuries or illnesses. We help our patients regain their physical or cognitive abilities so they can return home at their highest level of independence. As a smaller, specialized hospital, we offer an opportunity to work in a fast-paced and friendly work environment where you really get to know your patients and their families. The Clinical Liaison is responsible for educating, problem solving and building relationships with referral sources, obtaining referrals, completing eRehab or LTRAX assessments, and participating in planning, organizing and executing the Business Departmental plan. Frequent day travel with reliable transportation is required. The individual will be responsible for establishing and maintaining effective working relationships with their assigned accounts. Functions as a key source of market intelligence providing direct communication between the community, referral sources and physicians to their Vibra Hospital Team. Often serves as the "face of Vibra" in the community and is responsible for developing a positive, professional image conducive to building long lasting relationships with our customers. Qualifications: * Current, valid, and active license to practice as a Registered Nurse, Licensed Practical/Vocational Nurse, * Licensed Clinical Social Worker, Occupational Therapist, Speech Language Pathologist, Physical * Therapist or Respiratory Therapist required in the state where support is provided. * Recent healthcare experience in the acute care hospital, rehabilitation setting or home health care * agency/company required. * Current, valid and active driver's license required. * Ability to travel using publicly available air and ground transportation. Additional Qualifications/Skills: * Previous clinical screening experience is preferred. * Marketing/sales skill expertise preferred with a history of exceeding sales quotas. * Working experience of local medical community is preferred. * Ability to communicate effectively (written and verbal) with medical and administrative staffs as well as * patients and families, in an assertive, professional manner. * Self-motivated, extroverted and enthusiastic individual who is self-directed. * Ability to complete the clinical screens accurately and thoroughly within established timeframes with * demonstrated clinical expertise to determine admission criteria. * Ability to compute statistics and complete necessary reports in a timely and accurate manner. * Exhibit a sense of urgency for goal achievement with a strong commitment to results. * Ability to project a professional image. * Knowledge of regulatory standards and compliance requirements. * Strong organizational, prioritizing and analytical skills. * Ability to make independent decisions when circumstances warrant. * Working knowledge of computer and software applications used in job functions. * Freedom from illegal use of and effects of use of drugs and alcohol in the workplace At Vibra+Ernest, employees are our priority. We are passionate about patient care and consider it a privilege to be able to provide services to patients and their family members in the El Paso, TX area. Below is a brief summary of our benefits. * PPO high and low deductible plans / HSA options as well * FREE prescription plans * Dental and Vision coverage * Life insurance * Short and Long Term Disability * EAP and AFLAC * Flex plans, 401K matching * Company discounts for mobile phone service, electronics, cell phones, clothing, etc * PET insurance! * Group legal - provides legal assistance with personal legal matters * Tuition and continuing education reimbursement * Work life balance At Vibra Healthcare, our patients are family. Healthcare is constantly evolving, our growing organization is devoted to ensuring that each person in our care feels safe. Our world-class team of driven, passionate healthcare professionals are always focused on service excellence and providing top quality care at the bedside. CLICK HERE TO CHECK OUT OUR WEBSITE! If you share our values, we want to hear from you! Vibra Healthcare Inc. El Paso TX

RN Or LVN Utilization Manager (Remote)

Morgan Stephens