Responsible for evaluating the necessity, appropriateness and efficiency of the use of medical services procedures and facilities. Responsible for clinical review of all acute and sub acute services for appropriateness based on medical criteria, the management of healthcare resources necessary and appropriate for achievement of desired acute and sub acute outcomes, and the coordination of alternative levels of care for members. Serves as a patient advocate, seeking and coordinating creative solutions to patients health care needs without compromising quality outcomes.
**Position is located in Abingdon, VA**
Job & Education Requirements: Education
Nursing Diploma, Associates Degree in related Health/Nursing field Preferred
Bachelors Degree in related Health/Nursing field
Years and Type of Experience
Minimum of two years of utilization management or hospital/acute care experience Preferred :
Minimum of three years experience in health care, case management, discharge planning, utilization management, or behavioral health. Experience working on the community level and with community agencies
Certifications or Licensures
RN Must possess a valid drivers license and access to a motor vehicle. Preferred:
Certified Professional Healthcare Management
Required :English Preferred:Bilingual Functional Competencies:
Proficient in the use of Microsoft Office tools. Able to use basic office equipment such as telephone, fax machine and copy machine. Use of Internet and working knowledge in a windows environment to include navigation skills using a mouse, keyboard and number pad Ability to review and draft correspondence in email system and word processing systems. Experience working with utilization management data systems
For more information, please contact Aaryn Marquardt at 866-903-5038 or by email at email@example.com.
Inova - 2 years ago
Inova Health System Foundation provides financial support and assistance to the Inova Health System, which operates about 10 not-for-profit...