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Access Case Manager in Henderson, NC at Maria Parham Health

Date Posted: 4/13/2019

Job Snapshot

Job Description

Maria Parham Health

The Access Case Manager (ACM)/Utilization Review (UR) Specialist is a registered Nurse or Licensed Practical Nurse who is responsible for ensuring proper patient admission status through the performance of utilization review activities to include medical necessity of admissions, appropriateness of setting and medical necessity of professional services.  Works closely with physicians to assure and complete, completes initial and continued stay reviews for commercial payers and will serve as a participant in the denial process. Understands the needs of the organization and supports the mission, values and management of patient care services and patient financial services.  


Job Requirements

Current licensure as a Registered Nurse or Licensed PracticalNurse by the North Carolina Board of Nursing.  BLS certification isrequired.  Experience in Utilization Management is preferred.



Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran