University Health -
POSITION SUMMARY/RESPONSIBILITIES
Analyzes, coordinates, and documents care coordination services for patients based on established criteria, plan policies and procedures.
EDUCATION/EXPERIENCE
-Graduation from an accredited school of nursing, RN or LVN is required.
-A minimum three years of clinical nursing experience is required.
-Data entry, referral management, utilization management experience is required.
-Case management and call center experience preferred.
-Knowledge of e-mail, QM principles, and utilization management tools preferred.
-Claim review/audit experience a plus.
LICENSURE/CERTIFICATION
-Current licensure in the State of Texas as an RN or LVN is required.