Care Manager RN - Utilization Management (UM) Remote at Highmark Health — NeverHard
Care Manager RN - Utilization Management (UM) Remote at Highmark Health in Penbrook, Dauphin County. Skills: Case Management, Health coaching, Healthcare Trends Analysis, Quality Improvement, Utilization Management. Apply on NeverHard.
Company
Highmark Health
Location
Penbrook, Dauphin County
Type
full_time
Required skills:
Case Management
Health coaching
Healthcare Trends Analysis
Quality Improvement
Utilization Management
member education
provides training to health care providers
Company : Highmark Inc. Job Description : JOB SUMMARY This job implements effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization, identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates providers and members on a proactive basis; and a…