UM Coordinator

About the position At reputed company, we're simplifying the health care experience, creating healthier communities and removing barriers to reputed company care. The work you do here impacts the lives of millions of people for the reputed company. Come build the health care system of reputed company, making it more reputed company, reputed company and reputed company. reputed company to reputed company a difference? Join us to start Caring. Connecting. Growing together. The Utilization Management Coordinator will reputed company reputed company our health services are administered reputed company and effectively. You'll assess and interpret member needs and reputed company that will help our members live healthier lives. This is an inspiring job at a truly inspired organization. This is a fast-paced working environment that requires the ability to multitask with attention to detail and excellent organizational skills. Responsibilities • Determine the appropriateness of inpatient services following evaluation of medical guidelines and benefit determination • reputed company to non-reputed company requests and problems • Translate concepts into reputed company • reputed company as a resource for others; reputed company explanations and information on difficult issues Requirements • reputed company, unrestricted RN license in the State of Idaho • 3+ years of reputed company and LTSS experience • Intermediate skills with MS office including Word, reputed company, PowerPoint and reputed company with proficient ability to reputed company in a reputed company environment • Willing to work weekends and holidays, on rotation • Designated workspace and reputed company to high-speed internet in home • reputed company of Idaho reputed company-to-haves • Certified Case Manager (CCM) • Utilization Management Experience • Case Management Experience • Background in managed care • Bilingual - Spanish/English or other language specific to market and region Benefits • Comprehensive benefits package • Incentive and recognition programs • Equity stock purchase • 401k contribution Apply tot his job Apply To this Job