Overview

Utilization Review Case Manager coordinates the care and service of selected patient populations across the continuum. S/he works collaboratively with physicians and other members of the health care team/ third party payers as indicated to achieve the highest quality clinical outcomes with the most cost effective use of available resources. Responsible for assuring effective and efficient allocation of resources, services and staff by continuous monitoring of patients using established Utilization Review criteria. The Case Manager-Utilization Review assumes responsibility for an interdisciplinary process which assesses, plans, implements, monitors, and measures the effectiveness of interventions to meet patients treatment and transitional needs. The Case Manager-Utilization Review provides services to adult and geriatric patients and demonstrates the knowledge and skills necessary to offer care appropriate to the age of the patient. **Education and Training:** Graduate of an accredited school of nursing or social work, minimum bachelor’s degree. Case Management certified beneficial. **Shift:** 8 a.m. 5 p.m. Days of the week may vary Sunday Saturday ? Position Urgency:Quick Start