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Utilization Review Coordinator - Care Management - Greenville, NC

Job ID: 948724
Facility: Vidant Medical Center
Location: Greenville, NC
FT/PT: Full-Time
Reg/Temp: Regular
Date Posted: Apr 1, 2021

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Job Description

Vidant Health

About Vidant Medical Center

Vidant Medical Center is a 900+ bed Level-1 Trauma Center, regional referral hospital and is the flagship hospital for Vidant Health. We serve as the teaching hospital for the Brody School of Medicine at East Carolina University. Vidant Medical Center provides acute, intermediate, rehabilitation and outpatient services to more than 1.4 million people in 29 counties. But it's in our work environment that you'll find our sense of family and closeness that permeates everything we do.

Position Summary

The Care Management/Utilization Review Coordinator (CMURC) position will serve to support the discharge planning and utilization review (UR) processes by coordinating post discharge services and assisting with utilization review processes with oversight by the Nurse Care Managers (NCM), Utilization Review Specialists and/or the Social Work Care Managers (SWCM) within the Case Management and Utilization Management Departments. The CMURC may assist in collection of patient information, discharge care needs, regulatory interventions as well as work to facilitate a transition plan that promotes a safe and effective discharge and utilization of services. The CMURC will perform other activities related to the discharge planning and UR process as requested.

Minimum Requirements

  • Associate Degree in Human Services related field required

Preferred Requirements

  • BS preferred
  • Two years of healthcare related experience is preferred
  • Experience in case management, doctor's office, home health agency, DME agency, or health care field is strongly preferred
  • Knowledge of medical terminology and basic computer skills are required. Intermediate MS Word and Excel skills preferred

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

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