Case Manager, Per Diem
UMass Memorial Medical Center(3 months ago)
About this role
The Case Management/Utilization Review Coordinator at UMass Memorial Health is an experienced clinical professional responsible for overseeing hospital-wide utilization review processes. This role requires collaboration with various stakeholders to ensure optimal care utilization, regulatory compliance, and financial risk mitigation related to payment denials.
Required Skills
- Utilization Review
- Case Management
- Regulatory Compliance
- Stakeholder Collaboration
- Data Management
Qualifications
- Current Massachusetts licensure of RN
- Graduate of an accredited school of nursing
- BS required
About UMass Memorial Medical Center
ummhealth.orgUMass Memorial Health is the largest health care system in Central Massachusetts offering the region’s most sophisticated medical technology & support services.
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