Company Info

Boston Children's Hospital

Click APPLY NOW
Boston, MA, United States

Phone: 617-355-6000
Web Site: http://www.childrenshospital.org/

Company Profile


Utilization Case Manager - Center For Case Management


col-narrow-left   

Category:

Case Manager

Title:

Utilization Case Manager - Center For Case Management

Location:

Boston, MA, United States 

Zip Code:

02115
col-narrow-right   

Employment Type:

Full time

# of Beds:

359
col-wide   

Job Requirements:

BSN, Master’s preferred 3 years of clinical nursing experience, Utilization Review and Utilization Management Excellent interpersonal and written and verbal communication skills Knowledge of InterQual or other industry criteria Utilization Management and/or CCM certification preferred Strong Information Technology skills

Job Description:

Providing contracted and government payers with admission, concurrent, retrospective and denial reviews in support of financial reimbursement, regulatory compliance and identified quality indicators for inpatient hospital admissions Maintaining a working knowledge of health insurance, regulatory and compliance requirements Collaborating with discharge planning case manager colleagues and with members of the multidisciplinary clinical team

Job ID:

35881