Job Posting Title: UMCM Coordinator I
Description: This is in office NM
pay rate is $40/hour
This position is responsible for performing concurrent review in accordance with accepted department criteria; 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 require to meet an individual's health needs within the scope of their benefit plan.
JOB REQUIREMENTS:- Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.- 3 years of clinical 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.*Training is completed through Webex precepting. Worker should be able to hit the ground running.
Job Posting Start Date: 07/01/2024
Job Posting End Date: 12/31/2024
Division: NM PLAN
Worker Location: Albuquerque New Mexico