Utilization Management Clinician — Impactful Care Coordination

PacificSource; Virginia (IL); On-site; USD 71,000 - 106,000; Full time

Job summary

PacificSource is seeking an RN/case-management oriented professional to collaborate with physicians, nurses, social workers and other professionals in coordinating healthcare services for members. You will assess benefits and utilization, document care plans, and support discharge planning across inpatient, residential, and outpatient settings.

Strong knowledge of medical and behavioral health processes is required.

Qualifications

• Active, unrestricted RN license or equivalent counseling license.
• Minimum of three (3) years nursing or behavioral health experience.
• Experience in acute care, case management, rehab, home health, hospice preferred.

Responsibilities

• Collect and assess member information to promote wellness and cost-effective care.
• Coordinate resources to achieve member outcome goals.
• Document case notes and letters for legal records.

Skills

Accountability

Collaboration

Communication

Flexibility

Listening

Organization

Problem Solving

Teamwork

Education

RN licensure

Licensed Counselor/LMFT/LCSW/PMHNP

CCM Certification

Job description

PacificSource is seeking an RN/case-management oriented professional to collaborate with physicians, nurses, social workers and other professionals in coordinating healthcare services for members. You will assess benefits and utilization, document care plans, and support discharge planning across inpatient, residential, and outpatient settings.

Strong knowledge of medical and behavioral health processes is required.