Utilization Management Case Manager
Company: VirtualVocations
Location: Aurora
Posted on: February 20, 2025
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Job Description:
A company is looking for a UM Case Manager - 100% Remote.
Key Responsibilities
Coordinate care plans for assigned members, including
pre-certification and concurrent reviews
Assess medical, psychological, and social issues, and coordinate
treatments with healthcare providers
Document all determinations and interventions in accordance with
regulatory guidelines
Required Qualifications
Valid RN, LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, and/or ST
license
For CASAC positions, a Credentialed Alcohol and Substance Abuse
Counselor is required
Master's degree in a related discipline is preferred
Experience in managed care, case management, and discharge
planning
Knowledge of CMS or NYSDOH regulations governing medical management
in managed care
Keywords: VirtualVocations, Aurora , Utilization Management Case Manager, Executive , Aurora, Colorado
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