Utilization Management Clinician

Salem, OR 97301

Posted: 05/30/2024 Job Number: 5302401 Pay Rate: Commensurate with Experience

Job Description

Job Profile Summary

Collaborate closely with physicians, nurses, social workers and a wide range of medical and non-medical professionals to coordinate delivery of healthcare services. Assess the member’s specific health plan benefits and the additional medical, community, or financial resources available. Provide utilization management (UM) services which promote quality, cost-effective outcomes by helping member populations achieve effective utilization of healthcare services. Facilitate outstanding member care using fiscally responsible strategies.


Essential Responsibilities:

  • Collect and assess member information pertinent to member’s history, condition, and functional abilities in order to promote wellness, appropriate utilization, and cost-effective care and services.
  • Coordinate necessary resources to achieve member outcome goals and objectives.
  • Accurately document case notes and letters of explanation which may become part of legal records.
  • Perform concurrent review of members admitted to inpatient facilities, residential treatment centers, and partial hospitalization programs.
  • Maintain contact with the inpatient facility utilization review personnel to assure appropriateness of continued stay and level of care.
  • Identify cases that require discharge planning, including transfer to skilled nursing facilities, rehabilitation centers, residential, and outpatient to include behavioral health, home health, and hospice services while considering member co-morbid conditions.
  • Review referral and preauthorization requests for appropriateness of care within established evidence-based criteria sets.
  • When applicable, identify and negotiate with appropriate vendors to provide services.
  • When appropriate, negotiate discounts with non-contracted providers and/or refer such providers to Provider Network Department for contract development.
  • Work with multidisciplinary teams utilizing an integrated team-based approach to best support members, which may include working together on network not available (NNA), out of network exceptions (OONE), and one-time agreements (OTA).
  • Serve as primary resource to member and family members for questions and concerns related to the health plan and in navigating through the health systems issues.
  • Interact with personnel to assure quality customer service is provided.
  • Act as an internal resource by answering questions requiring medical or contract interpretation that are referred from other departments, as well as physicians and providers of medical services and supplies.
  • Assist employers and agents with questions regarding healthcare resources and procedures for their employees and clients.
  • Identify high cost utilization and refer to Large Case Reinsurance RN and Care Management team as appropriate.
  • Assist Medical Director in developing guidelines and procedures for Health Services Department.

Supporting Responsibilities:

  • Act as backup and be a resource for other Health Services Department staff and functions as needed.
  • Serve on designated committees, teams, and task groups, as directed.
  • Represent the Heath Services Department, both internally and externally, as requested by Medical Director.
  • Meet department and company performance and attendance expectations.
  • Follow privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Perform other duties as assigned.

Work Experience: Five years of nursing or behavioral health experience with varied medical and/or behavioral health exposure and capability required. Experience in acute care, case management, including cases that require rehabilitation, home health, behavioral health and hospice treatment strongly preferred. Insurance industry experience helpful, but not required.

Education, Certificates, Licenses: Registered Nurse or a Clinically Licensed Behavioral Health Practitioner with current unrestricted state license. Within 6 months of hire licensure may need to include Oregon, Montana, Idaho and/or other states as needed. Case Manager Certification as accredited by CCMC preferred.

Knowledge: Thorough knowledge and understanding of medical and behavioral health processes, diagnoses, care modalities, procedure codes including ICD and CPT Codes, health insurance and state-mandated benefits. Understanding of contractual benefits and options available outside contractual benefits. Working knowledge of community services, providers, vendors and facilities available to assist members. Understanding of appropriate case management plans. Ability to use computerized systems for data recording and retrieval. Assures patient confidentiality, privacy, and health records security. Establishes and maintains relationships with community services and providers. Maintains current clinical knowledge base and certification. Ability to work independently with minimal supervision. Must be able to function as part of a collaborative, cohesive community.

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