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Luminis Health Doctors Community Medical Center
Lanham, Maryland, United States
12 hours ago

Description

Utilization Review/Case Manager
Lanham Partial Hospitalization
Full Time/ Weekdays

Luminis Health Doctors Community Medical
Center is dedicated to caring for our patients and our community. In fact, our culture is built on striving for excellence in service and clinical quality.

The Utilization Review/Case Manager performs and monitors integrated, concurrent utilization review and case referrals on patients, consistent with the approved Utilization Review Plans.

Key Duties:

  • Work with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement
  • Maintain contact with Managed Care and other third party payors to assure appropriate case management
  • Assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs
  • Maintain monthly statistical data and reports data to Clinical Director
  • Evaluate data obtained in the bio-psychosocial and nursing history and assess patients and their families to determine by interview, appropriateness for admission or referral


Qualifications:

  • BA/BS
  • Two years of experience performing utilization review or utilization management
  • Licensed Clinician


We offer a competitive compensation and benefits package. For the complete position description and to apply, visit https://www.luminishealthcareers.org/job/13857927/utilization-review-case-manager-lanham-partial-hospitalization-full-time-weekdays-lanham-md/

Luminis Doctors Community Medical Center is an equal opportunity employer that values diversity and inclusiveness in the workplace including sexual orientation and gender identity. Tobacco-Free Workplace.



Job Information

  • Job ID: 60179308
  • Location:
    Lanham, Maryland, United States
  • Position Title: Utilization Review/Case Manager
  • Company Name: Luminis Health Doctors Community Medical Center
  • Job Function: Utilization Review/Case Manager
  • Job Type: Full-Time

Please refer to the company's website or job descriptions to learn more about them.

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