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Utilization Management Case Manager II
Job summary
A healthcare organization in Connecticut is seeking a Case Manager for Utilization Management to coordinate care plans and enhance health outcomes for members. The role involves conducting pre-certifications, assessing member needs, and collaborating with medical providers. Ideal candidates will have relevant licensure and experience in managed care. Competitive salary range of $73,400 to $108,160 based on location and qualifications.
Benefits
Qualifications
- Minimum licensure as RN, LPN, LMSW, LMHC, LMFT, LCSW, PT, OT, or ST.
- Experience in managed care and case management is preferred.
- Knowledge of CMS or NYSDOH regulations is a plus.
Responsibilities
- Coordinate care plans and conduct pre-certifications.
- Assess medical and psychological issues for assigned members.
- Document all interactions in accordance with standards.
- Monitor assigned caseload to meet performance metrics.
Skills
Education
Tools
* The salary benchmark is based on the target salaries of market leaders in their relevant sectors. It is intended to serve as a guide to help Premium Members assess open positions and to help in salary negotiations. The salary benchmark is not provided directly by the company, which could be significantly higher or lower.