Job Title: UMCM Coordinator
Location: Alb NM - Remote and occasional onsite meetings
Pay rate: 40.00/hr on W2
Duration: July 2025 to July 2026 (possible extension)
Description:
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 individuals 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
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 Microsoft Teams precepting. Worker should be able to hit the ground running.