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UTILIZATION MANAGER UNC CARE MANAGEMENT MEDICAL CENTER
CHAPEL HILL NC 27515
Category: Health Care Industry , Education
  • Your pay will be discussed at your interview

Job code: lhw-e0-90671316

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UNC Health Care

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
       
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UTILIZATION MANAGER UNC CARE MANAGEMENT MEDICAL CENTER
UTILIZATION MANAGER UNC CARE MANAGEMENT MEDICAL CENTER


Job ID: CLI00BWL


UTILIZATION MANAGER UNC CARE MANAGEMENT MEDICAL CENTER-CLI00BWL






Description


Position: Utilization Manager


Department: UNC Care Management Medical Center


Hours: M - F 8a to 5p with occasional weekends.





Works in collaboration with the patient/family, and interdisciplinary team (including physicians, other care providers, and payors), and assesses the patient care progression from acute care episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Care Management staff to ensure patient needs are met and care delivery is coordinated across the continuum. May require participation in daily unit-based patient progression rounds with the care team.Responsibilities include: To complete admission, continued stay, and discharge reviews in accordance with federal regulations and the Hospitals' Utilization Management Plan. To ensure revenue protection by reconciling physician orders, patient class, and medical necessity. This may include delivering notifications to patients directly.









Qualifications


Graduation from a state-accredited school of professional nursing or other professional degree with appropriate clinical and/or project management experience.



If hired after October 1, 2015, must be enrolled in an accredited program within four years of employment, and obtain a Bachelor's degree with a major in Nursing or a Master's degree with a major in Nursing within seven years of employment date.



Two (2) years of clinical experience in a medical facility and/or comparable Utilization Management experience.



Licensed to practice as a Registered Nurse in the state of North Carolina.






Primary LocationUnited States-North Carolina-Chapel Hill


Department1000-UNC MEDICAL CENTER









ShiftDay Job


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