Case Manager – Utilization Review (Full-Time)

Cullman Regional Medical Center, Inc.; Cullman (AL); Hybrid; USD 70,000 - 95,000; Full time

Job summary

Cullman Regional Medical Center in Cullman, AL is seeking a Full-Time Case Manager - Utilization Review to coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care. You will support physician provision of patient care with accountability for a designated case load.

Responsibilities include facilitating precertification and payor authorization, leading multidisciplinary collaboration, applying evidence-based

Qualifications

• Requires nursing degree and active Alabama license.
• BSN preferred.
• Excellent communication and interpersonal abilities; proficient with CMS guidelines and payor portals.

Responsibilities

• Coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care.
• Support physician provision of patient care with accountability for designated patient case load.
• Facilitate precertification and payor authorization processes and collaborate across the care continuum.

Skills

Advanced communication

Interpersonal skills

CMS guidelines familiarity

Education

Associate's degree in nursing or higher

BSN preferred

Tools

Microsoft Word

Excel

Job description

Cullman Regional Medical Center in Cullman, AL is seeking a Full-Time Case Manager - Utilization Review to coordinate with physicians, nurses, social workers and other health team members to expedite medically appropriate, cost-effective care. You will support physician provision of patient care with accountability for a designated case load.

Responsibilities include facilitating precertification and payor authorization, leading multidisciplinary collaboration, applying evidence-based