Regional Care Manager: Care Coordination & Utilization Lead
Wellpath / Correct Care Solutions
14 days+
Get more replies from employers
Send a job-specific resume in minutes.
Benefits offered by this job
Job summary
A healthcare leader is seeking a Regional Care Manager to oversee utilization review and care management in correctional healthcare settings. The ideal candidate will have a nursing background and experience in utilization and case management. Responsibilities include analyzing off-site medical care, conducting clinical reviews, and collaborating with medical directors. This role promises career growth and the chance to contribute to a mission-driven organization dedicated to providing quality care to underserved populations.
Qualifications
- Graduated from an accredited School of Nursing or obtained Care Management Certification.
- Prior experience in utilization review or case management is required.
- 3+ years of hands-on clinical experience is essential.
Responsibilities
- Oversee utilization review and daily care management across multiple sites.
- Conduct clinical reviews and apply InterQual Criteria.
- Coordinate care with medical directors and operations personnel.
Skills
Clinical review
InterQual Criteria
Utilization review
Case management
Computer proficiency
Education
Graduation from accredited School of Nursing
RN preferred
Tools
MS Word
Excel
PowerPoint
Job description
A healthcare leader is seeking a Regional Care Manager to oversee utilization review and care management in correctional healthcare settings. The ideal candidate will have a nursing background and experience in utilization and case management. Responsibilities include analyzing off-site medical care, conducting clinical reviews, and collaborating with medical directors. This role promises career growth and the chance to contribute to a mission-driven organization dedicated to providing quality care to underserved populations.
'/%3e%3cpath%20d='M101.744%2012.4726L102.894%2016.1947L99.0021%2013.2201L101.744%2012.4726ZM105.3%208.40937H100.488L99.0026%203.59473L97.5116%208.41047L92.7%208.40385L96.5965%2011.3834L95.1055%2016.1942L99.0021%2013.2196L101.408%2011.3834L105.3%208.40992V8.40937Z'%20fill='white'/%3e%3cdefs%3e%3clinearGradient%20id='paint0_linear_5593_1381'%20x1='90'%20y1='9.44471'%20x2='99'%20y2='9.44471'%20gradientUnits='userSpaceOnUse'%3e%3cstop%20stop-color='%2300AD70'/%3e%3cstop%20offset='0.998594'%20stop-color='%2300B67A'/%3e%3cstop%20offset='1'%20stop-color='%23DCDCE6'/%3e%3c/linearGradient%3e%3c/defs%3e%3c/svg%3e){kind=small}
