Responsiblefor utilization review, case management and discharge planning of ourpatients. Performs admission andconcurrent reviews as requested by third party payers. Collects and reports pertinent utilizationand quality improvement data to physicians, QI committees and the URcommittee. Prepares written responses todenials and quality care issue. Servesas a resource for physicians and nursing staff on patient care issues.
Requires: Active Colorado LPN or RN license or Master’sDegree in Social Work; one-year experience in case management or similar role;excellent customer service skills; ability to establish and maintain effectiveworking relationships with patients and families, other employees, medicalstaff, medical center administration, outside agencies, third party payers andother professional organizations; excellent oral and written communicationskills; ability to maintain confidentiality of all information; ability to workindependently with minimal supervision; and ability to work under stressfulsituations with time constraints. Position would work approximately 18-20 hoursper month including a minimum of one weekend per month.
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran
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Job ID: 7456-1774
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