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UM Clinician: Drive Cost-Efficient, Quality Care

PacificSource Administrators, Inc.

Springfield (OR)

On-site

USD 60,000 - 80,000

Full time

30+ days ago

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Job summary

A healthcare organization is seeking a Utilization Management Clinician to coordinate healthcare delivery and perform utilization management. The ideal candidate has a minimum of three years of nursing experience, is a registered nurse or licensed behavioral health practitioner, and is skilled in case management. This full-time position is based in Springfield, Oregon, and contributes to ensuring quality, cost-effective care for members.

Qualifications

  • Minimum of three years of nursing or behavioral health experience.
  • Experience in acute care and case management preferred.
  • Clinically licensed with unrestricted state license.

Responsibilities

  • Coordinate delivery of healthcare services with medical professionals.
  • Provide utilization management services for cost-effective outcomes.
  • Document case notes and ensure quality customer service.

Skills

Nursing experience
Behavioral health experience
Case management
Problem Solving
Collaboration

Education

Registered Nurse or clinically licensed behavioral health practitioner
Case Manager Certification (CMCC preferred)
Job description
A healthcare organization is seeking a Utilization Management Clinician to coordinate healthcare delivery and perform utilization management. The ideal candidate has a minimum of three years of nursing experience, is a registered nurse or licensed behavioral health practitioner, and is skilled in case management. This full-time position is based in Springfield, Oregon, and contributes to ensuring quality, cost-effective care for members.
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