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Lehigh Valley Health Network

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Case Manager – Utilization Management

Location

Pennsylvania

Posted

2 days ago

Salary

0

Seniority

Mid Level

Professional Certificate2 yrs expEnglish

Job Description

Case Manager – Utilization Management

Lehigh Valley Health Network

• Ensures appropriate use of hospital resources by reviewing patients admitted to the hospital • Provides timely, accurate, and thorough clinical reviews • Develops and implements methods, policies, and procedures to improve departmental efficiency • Works collaboratively with management and peers to facilitate appropriate patient class assignment

Job Requirements

  • Specialized Diploma in nursing
  • 2 years of previous utilization review experience
  • Knowledge of utilization management as it relates to third party payers
  • Ability to maintain strict adherence to HIPAA
  • Ability to work in a team environment
  • Ability to be attentive to detail
  • RN - Licensed Registered Nurse_PA - State of Pennsylvania Upon Hire

Benefits

  • Health insurance
  • 401(k) matching
  • Paid time off
  • Flexible work arrangements
  • Professional development

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