Utilization Management Care Coordinator

UHS • Colorado Springs, CO

7d

About The Position

This position is responsible for providing initial, ongoing and systematic utilization review and discharge planning efforts (in coordination with discharge planner) on all patients assigned by Director, coordinating patient care; advocating for the patient and facility; and promoting quality of care. All other duties as reasonably assigned to meet department objectives to include schedule variations. Schedule is Monday through Friday 8-5 and may include a flexible schedule on holidays.

Requirements

• Requires organizational, verbal, interpersonal and customer service skills, grammar and spelling, the ability to read/comprehend written instructions and follow verbal instructions.
• Ability to establish and maintain effective working relationships with employees, managers, referral sources, patients/families, community resources, etc.
• Ability to exercise professional independent judgment in planning own work.
• Must be flexible with work hours to accommodate work volumes.
• Bachelor Degree in a human services field (Master's level preferred) with two years of treatment-oriented experience, OR a Bachelor of Science degree in Nursing from an accredited college or university with a current Colorado RN license.
• Must meet or exceed hospital and regulatory agency training requirements.

Nice To Haves

• Experience in utilization review, managed care, or determining appropriateness for level of care is preferred.
• Knowledge of utilization management and managed care environment is helpful.

Responsibilities

• Providing initial, ongoing and systematic utilization review
• Discharge planning efforts (in coordination with discharge planner) on all patients assigned by Director
• Coordinating patient care
• Advocating for the patient and facility
• Promoting quality of care
• All other duties as reasonably assigned to meet department objectives to include schedule variations

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 501-1,000 employees