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Posted: Monday, November 6, 2017 8:15 AM

Job Number: 452867

UM RN Coordinator I - BCBS

This position is responsible for performing concurrent review in accordance with accepted department criteria; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services require to meet an individuals health needs within the scope of their benefit plan.

- Register Nurse (RN) with current, valid, unrestricted license in state of operations or reciprocity.
- 3 years of clinical experience
- Experience utilizing various software packages.
- Verbal and written communication skills
- Analytical skills
- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.

- Familiarity with UM/CM activities and standardized criteria set.
- Knowledge of ancillary services including HHC, SNF, Hospice, etc.

Associated topics: bsn, care, infusion, intensive, maternal, nurse, nurse clinical, nurse rn, registed, surgery


• Location: Dallas

• Post ID: 70493037 dallas is an interactive computer service that enables access by multiple users and should not be treated as the publisher or speaker of any information provided by another information content provider. © 2017