Whether your skills lie in patient care or administration and you prefer to work in not-for-profit health care, CHRISTUS Health facilities may have a career opportunity for you. CHRISTUS Health and our facilities are committed to being an equal opportunity employer as part of our on-going mission. It is the policy of CHRISTUS Health not to discriminate on the basis of race, color, creed, religion, gender, orientation, disability, age or national origin. The Utilization Care Manager performs observation and inpatient utilization case reviews for patients located in network and out of network facilities. All admissions shall be reviewed by the Utilization Care Manager utilizing appropriate InterQual screening criteria to ensure that all USFHP members receive medically necessary hospital services at an appropriate level of care. The admission reviews may be done initially, concurrently, or retrospectively as appropriate to the individual case. The position responsibilities also include reducing LOS of hospitalization by initiating early discharge planning to quality cost-effective alternative settings and negotiating with out of network providers for covered services as necessary. The Utilization Care Manager coordinates care with physicians including in network hospitalists, family, and other providers and makes post hospital follow up calls to providers and/or members to confirm initiation of ordered services. CHRISTUS Health is committed to providing meaningful benefits for you and your family and to sharing with you the prosperity you help create. We support our health care teams with competitive compensation and an outstanding benefits package. Medical Health Coverage
Prescription Drug Plan
Group Term Life
Accidental Death & Dismemberment
Minimum three years diverse clinical experience as a RN. Minimum two years case management and/or utilization review experience. Basic computer knowledge. Good typing skills. Excellent customer service skills. Current/active RN licensure.
At least 3 year(s)
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