Utilization Management Coordinator - Case Management - Part Time - Allegiance Health

🔍 Jackson, Michigan

📁: Nursing

📅   : Jan 03, 2018 Post Date

📅   : 1711520 Requisition #

Position Summary:

The Utilization Management Coordinator supports the Case Management Department by providing clinical data to insurers, evaluating and, if appropriate, contesting payment denials for clinical reasons and collaborating with financial staff on billing and contract issues. He/she also acts as a resource person for case management staff and other departments on utilization management processes and guidelines in compliance with regulatory and reimbursement requirements.

Minimum Education:

RN with Bachelor’s degree or actively pursuing a degree in the health care field.

Minimum Work Experience:

Five years of nursing-related experience.

Required Licenses/Certifications:

RN with valid nursing license.

Required Skills, Knowledge, and Abilities:

Experience in utilization management required.

Excellent communication and interpersonal skills with all levels of internal and external customers required.

Physically capable of standing, walking, stooping, bending, and lifting up to 25 pounds.

Must be knowledgeable about medical terminology, appropriate levels of health care, treatment

modalities and the health care delivery system.

Knowledge of computer software applications.

Preferred Qualifications:

Case Management certification

Overview

Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

care systems, is a national leader in clinical care, research and education. The system includes

the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

network and many other health-related entities throughout southeast Michigan, providing a

full continuum of care. In 2015, Henry Ford provided $299 million in uncompensated care.

The health system also is a major economic driver in Michigan and employs more than 24,600

employees. Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient. The

health system is led by President and CEO Wright Lassiter III. To learn more, visit HenryFord.com.

Benefits

Whether it's offering a new medical option, helping you make healthier lifestyle choices or

making the employee enrollment selection experience easier, it's all about choice. Henry

Ford Health System has a new approach for its employee benefits program - My Choice

Rewards. My Choice Rewards is a program as diverse as the people it serves. There are

dozens of options for all of our employees including compensation, benefits, work/life balance

and learning - options that enhance your career and add value to your personal life. As an

employee you are provided access to Retirement Programs, an Employee Assistance Program

(Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

benefits and services.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Utilization Management Coordinator - Case Management - Part Time - Allegiance Health

🔍 Jackson, Michigan

Overview

Benefits

Equal Employment Opportunity/Affirmative Action Employer

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