Utilization Review Manager - Home Care ensures quality and level of care for patients are up to established standards and comply with federal, state, and local regulations. Investigates and resolves reports of inappropriate care. Being a Utilization Review Manager - Home Care may require a bachelor's degree. Typically reports to a head of a unit/department. To be a Utilization Review Manager - Home Care typically requires 4 to 7 years of related experience. Contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. (Copyright 2024 Salary.com)
VIVA HEALTH, ranked one of the nation's Best Places to Work by Modern Healthcare, has an opportunity for a Case Manager, UR in Birmingham, AL!
VIVA HEALTH knows that nursing is not just a job; it is a calling. If you would like to fulfill your calling in healthcare, check us out! We offer regular hours with no mandatory nights and weekends. This way, you can do what you love at work and can take care of the people you love at home! We also offer a great benefits package, including tuition reimbursement for employees and dependents, 401(K), paid parental leave, and paid day for community service, just to name a few!
VIVA HEALTH is the first and only Alabama-based plan to be named an overall 5-out-of-5 Star Medicare Advantage Plan. Our employees are a part of the communities they serve and proudly partner with members on their healthcare journeys. Come join our team!
The Case Manager, UR will evaluate members' needs and requirements to achieve and/or maintain an optimal wellness state. This position will guide members and their families toward interaction with resources appropriate for the care and well-being of members. The Case Manager, UR will collaborate with a multi-disciplinary team employing a variety of strategies, approaches, and techniques to manage members' physical, environmental, and psychosocial health issues. The Case Manager, UR will primarily perform fieldwork outside of the office setting. The incumbent will travel to locations within the VIVA HEALTH service area through a reliable means of transportation insured by Company policy. This position has work-from-home opportunities but requires occasional on-site work.
REQUIRED:
PREFERRED:
Click Here to learn more about how VIVA HEALTH is building a culture where diverse voices, backgrounds, and perspectives are welcomed and celebrated!
Clear All
0 Utilization Review Manager - Home Care jobs found in Birmingham, AL area