Job Seekers, Welcome to NACM Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
NEW! NEW!
NEW! NEW!
NEW! NEW!
University of California Irvine Health
Orange, California
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
WakeMed Health & Hospitals
Raleigh, North Carolina
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
ChristianaCare Health System
Newark, Delaware
NEW! NEW!
Rutgers University
New Brunswick, New Jersey
NEW! NEW!
NEW! NEW!
NEW! NEW!
Washington State Department of Health
Tumwater, Washington
NEW! NEW!
Northeast Georgia Health System
Gainesville, Georgia
Penn State Health
Camp Hill, Pennsylvania
Loading... Please wait.
IRP-Utilization Case Manager
Scope of Position / Position Summary: The Internal Resource Pool (IRP) - Utilization Management Case Manager (UM CM) implements and supports the philosophy, mission, values, standards, policies and procedures of The Ohio State University Wexner Medical Center. The UM CM contributes to the hospitals Utilization Management Program Plan by using medical necessity guidelines to determine appropriateness for inpatient level of care or observation services based on documented clinical information in compliance with CMS guidelines and other payer requirements regarding appropriate level of care. This role requires in-depth knowledge and ability to apply various payer rules, regulations, and MCG guidelines. The IRP - UM CM maintains an awareness of State and National health
Loading. Please wait.
Powered By
