Utilization Management Coordinator - LHB

At Luminare Health , our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

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Job SummaryThis position is responsible for the day-to-day operations of the Healthcare Management Program and the analysis of as it relates to the Utilization Management Process.

Required Job Qualifications:

Education: 

• Active unrestricted Registered Nurse License issued by a state or territory of the United States of America is required.

Experience: 

• Nurse with a minimum of two years clinical nursing and/or managed care experience.

General Abilities/Competencies:

• Communicate in a positive and effective manner in both oral and written communication;
• Read and interpret documents, criteria, instructions, and policy & procedure manuals;
• Write/create routine correspondence and reports;
• Speak effectively with clients, physicians, providers, families in crisis and community agencies as well as co-workers and senior management;
• Add, subtract, multiply and divide in all units of measure, using whole numbers, common fractions and decimals;
• Compute rate, ratio and percent;
• Apply common sense understanding to carry out instruction furnished in written, oral or diagram form;
• Deal with problems involving several concrete variables in standardized situations;
• Evaluate problems, develop alternative solutions and identify trends and patterns; 
• Capable of working in an environment that requires organization and prioritization in order to address time sensitive assignments;
• Excellent interpersonal skills;
• Perform multiple tasks simultaneously;

Preferred Job Qualifications:

• Prior Utilization Management or Case Management experience strongly preferred. 

Please note office hours are 8am -8pm ET. Planned working hours are expected to be 11:30 am - 8:00 pm ET .

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EEO Statement:

We are an Equal Opportunity Employment / Affirmative Action employer dedicated to providing an inclusive workplace where the unique differences of our employees are welcomed, respected, and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare Health, you will be part of an organization committed to offering meaningful benefits to our associates to support their life outside of work. From health and wellness benefits, 401(k) savings plan, a minimum of 15 …