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Corizon Health Utilization Managment Report Coordinator in Hanover, Maryland

About Corizon Health

Corizon Health is the pioneer provider of correctional healthcare in the United States.

We are a company built on more than 40 years of innovation and expertise in the industry.

Our people, our practices, and our commitment to success are the traits that make us the ideal employer as you begin or continue to advance your correctional healthcare career.

Responsibilities

The UM Report Coordinator monitors, organizes and maintains clinical reports that ensure effective outcomes that focus on the quality of care for all inpatient and/or outpatient services. This includes, but not limited to evaluating medical necessity, appropriateness and efficient use of Health Care Services for inpatient hospitalizations and/or outpatient procedures; working closely with internal clinical sources; acting as liaison for referring hospitals and/or offsite healthcare provides; and monitoring the quality of care/risk management issues to facilitate the improved utilization of resources.

  1. Review, compile and coordinate the data required for UM Monthly Reports to include, but not limited to data including inpatient, outpatient, ER and CARES.

  2. Assist with the collection and evaluation of data in the EPHR and CARES system.

  3. Participate in weekly conference calls involving the census and status of patients housed within the infirmary throughout the State.

  4. Maintain infirmary census data as it relates to utilization management.

  5. Daily tracking of ER send outs, inpatients and readmissions across the State.

  6. Coverage, in the absence of the inpatient nurse, for inpatient documentation and follow up.

  7. Assist in completion of special projects on an as needed basis within the Department.

  8. Participation in UM staff meetings and collegial discussions, when applicable.

  9. Assignment of other duties, as required.

Experience & Requirements

 Bachelor’s Degree in Nursing with active RN license.

 Current CPR certification.

 Experience producing and managing reporting process.

 Experience with office administrative responsibilities.

 Knowledge of data collection, report documentation and case management, a plus.

 Computer proficiency.

Benefits offered to the Corizon Health Dialysis Technician

• Paid Time Off

• Medical, Dental and Vision Insurance

• Tuition Assistance

• 401(k) with company match

• Free online Continuing Education program

• Comprehensive Onboarding

This position requires a background check, security clearance, and/or drug screening.

For questions contact Carolyn Coney-Johnson Sr. Clinical Recruiter at 615-660-6814 or Carolyn.coneyjohnson@corizonhealth.com

Not ready to apply? Connect with us for general consideration.

Corizon Health is an Equal Opportunity/Affirmative Action Employer. In compliance with federal and state employment opportunity laws, qualified applicants are considered for all positions without regard to race, gender, national origin, religion, age, sexual orientation, disability, Vietnam era veteran, or disabled Veteran status. EOE including Disability/Protected Veterans

ID 2019-5762

Job Locations US-MD-Hanover

Category Nursing & Nursing Assistant

Position Type Regular Full-time

Shift / Schedule Weekday Day

Location ID 91200

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