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
January 14, 2022