Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
Could you be our next Utilization Review Case Manager at Bryn Mawr Rehab?
Why work as a Utilization Review Case Manager with Main Line Health?
Make an Impact!
Position: UM Review Case Manager
Shift: day shift
Experience:
1. Minimum of 3 years direct medical-surgical experience
2. 2 years in medical Case Management, Utilization Review, Discharge Planning or other appropriate health-related field. Has working knowledge of insurance coding, and reimbursement including but not limited to Medicare, Medicaid, and Managed Care.
Education:
Graduate of an accredited School of Nursing. Bachelor’s degree preferred
Licensures/Certifications:
1. Current licensure in the Commonwealth of PA as a Registered Nurse
2. Case Management certification preferred or active pursuance.
All positions are eligible for an employee referral bonus. The amount varies and is outlined on Wellspring. To be paid for the referral, employees must share the job link with their referral and the candidate must use the link to complete an application. The employee referral program details can be found on Wellspring.