about life at Wellmark . Job Description Use Your Strengths at Wellmark as a Utilization Management Nurse! About the role...: As a Utilization Management (UM) Nurse, you will provide UM services, transition of care and support to members and health care...
Employment Type: Full time Shift: Description: Are you an experienced Director of Care Management & Utilization... responsibilities include budgeting, strategic planning, patient care management and integration and achieve organizational goals. Acts...
about life at Wellmark . Job Description Use Your Strengths as a Case Management Nurse I at Wellmark! About the role...: As a Case Management Nurse I, you will serve as a key advisor who actively engages with members through a variety of channels...
in specific areas. Demonstrates knowledge and understanding of management /supervisory responsibilities as identified.... Works with management and medical staff to evaluate, monitor and enforce specific protocols, procedures and objectives...
: Monitors patient admissions to assure appropriate patient placement Focuses on efficient bed utilization when assigning beds... knowledge and teamwork to facilitate cohesive efforts to achieve continuous quality management and excellence in providing...
with Utilization Management staff regarding payer information, level of care and status determinations for patients. Understands..., and high quality standards of care are maintained across the continuum. Is accountable for Care Management evaluation including...
. - Work on special projects as assigned. - Other duties as assigned by management. Minimum Requirements - Current Nurse... assessments to determine if the correct conclusion for eligibility of services was reached by the nurse assessor. - Collect data...
by management. Minimum Requirements - Bachelor's degree with 3-5 years of experience consulting within designated function.... - Current Registered Nurse (RN) license valid in the state of practice required. - Experience in state workers compensation...
) and utilization management process in accordance with current federal, state, and local standards. Essential Functions Reasonable... for each need. 4. Assist nursing management with the coordination, management, and review of nurse’s notes to determine if the...