Care Manager Coordinator

Location: WK Medical Center
Department: Care Management
Classification: Full-Time
Shift: 7:30 AM-4:00 PM
Date Posted: 9/17/2019
Description: Care Management Coordinator - Utilization Review Supervisor


Days/Hours:  Mon-Fri, 7:30am - 4pm

This position is for a working supervisor of the Utilization Review Department.

Responsibilities include:
- Daily oversight of the UR Department and employees

- Providing direction for complex cases, monitoring pending cases, and prioritization of tasks

- Acts as a liaison between multiple departments

- Subject Matter Expert (SME) for UR

- Monitors excessive OBS days, and inpatient stays exceeding GMLOS

- Conducts quality review checks and audits

- Provides education on documentation to staff, mid-levels, and physicians

- Compiles data and creates reports on opportunities and monthly approval/denial statistics

- Implements denial prevention policy and procedures 


This position reports to the Clinical Advisor of CM and Director of Care Management.  The ideal candidate has knowledge of the revenue cycle, is self-motivated, has strong written and verbal communication skills, and has the ability to effectively manage a great group of Utilization Review Nurses. 

Degree/Experience: 
- Registered Nurse

- Minimum 5 years Nursing, Care Management, Revenue Cycle, and/or Utilization Review Experience

- Management experience

Willis-Knighton is an equal opportunity employer and thus, manages its employment and employee relations policies, practices and benefits without regard to age, race, sex, color, creed, religion, national origin, disability, veteran, or other protected status where otherwise qualified.