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SUMMARY: This position will actively and retrospectively review medical cases to confirm that patient receive appropriate care and ensures cost effectiveness of health care services. Utilization management relates to all components in the health care system including primary, specialty and inpatient settings.
BENEFITS:
REQUIREMENTS:
MANDATORY KNOWLEDGE AND SKILLS:
UNIQUE MILITARY HEALTH CARE SYSTEMS/PROCEDURES: The Composite Health Care System (CHCS), MHS GENESIS, Armed Forces Health Longitudinal Technology Application (AHLTA), and ICD-B programs must be utilized for referral management services. Access will be granted by local MTF connectivity and the contractor shall comply with MHS communications and Government IT security standards and policies. The military facility will provide system accounts for MSS personnel after required training and security procedures have been completed by the contractor. If the Military Health Service processes moves away from specified systems, the government will modify the task order accordingly.
PERFORMANCE OUTCOMES:
WORK ENVIRONMENT/PHYSICAL REQUIREMENTS: The work can be sedentary. However, there may be some physical demands. Requirements include standing, sitting or bending. Individual will be required to walk throughout facility to pick up family practice clinic, medical records, and radiology mail drop offs/signed referrals.
Job Type: Full-time
Salary: Up to $37.52 per hour
Work Location: In person
Job Type: Full-time
Pay: $37.52 per hour
Expected hours: 40 per week
Benefits:
Healthcare setting:
Schedule:
Experience:
License/Certification:
Ability to Relocate:
Work Location: In person
Full Time
$79k-96k (estimate)
03/15/2024
04/24/2024
hpmg.net
Poplar Bluff, MO
<25
The following is the career advancement route for Utilization Review Nurse/Case Manager positions, which can be used as a reference in future career path planning. As an Utilization Review Nurse/Case Manager, it can be promoted into senior positions as a Case Management Director that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Utilization Review Nurse/Case Manager. You can explore the career advancement for an Utilization Review Nurse/Case Manager below and select your interested title to get hiring information.