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Form of work
SalaryCould you be our next Utilization Review Case Manager at Bryn Mawr Rehab?
Why work as a Utilization Review Case Manager with Main Line Health?
Make an Impact!
- This position requires an RN who is responsible for reviewing medical records for the appropriate level of care, medical necessity, length of stay, and authorization denials for hospitalized patients. An understanding of the severity of an array of illnesses, intensity of service, and care coordination needs is key, as the nurse must integrate clinical knowledge with billing knowledge to review, evaluate, and appeal clinical denials related to the care provided to the hospitalized patient.
- Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status.
- Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care.
- Position-Specific Benefits include: You are eligible for up to 240 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
Position: UM Review Case Manager
Shift: day shift
Experience:
1. Minimum of 3 years direct medical-surgical experience
2. 2 years in medical Case Management, Utilization Review, Discharge Planning or other appropriate health-related field. Has working knowledge of insurance coding, and reimbursement including but not limited to Medicare, Medicaid, and Managed Care.
Education:
Graduate of an accredited School of Nursing. Bachelor’s degree preferred
Licensures/Certifications:
1. Current licensure in the Commonwealth of PA as a Registered Nurse
2. Case Management certification preferred or active pursuance.
All positions are eligible for an employee referral bonus. The amount varies and is outlined on Wellspring. To be paid for the referral, employees must share the job link with their referral and the candidate must use the link to complete an application. The employee referral program details can be found on Wellspring.
