Top 24 Utilization management Jobs in Luck Wi

Care Coordinator, LSW (MSHO)
Bluestone Physician Services —North Branch, MN
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Experience working with individuals with disabilities
- Mileage reimbursement
- Health savings account
Quick Apply
2d
Care Coordinator, RN (MSHO)
Bluestone Physician Services —North Branch, MN
- $65,000 - $75,000 a year
- Full-time
- Hybrid work
- Nursing
- RN License
- Experience working with individuals with disabilities
- Mileage reimbursement
- Health savings account
Quick Apply
2d
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply
Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)
Virtix Health —United States
- $125 an hour
- 8 hour shift
- Remote
- Background check
- Medicine
- Doctoral degree
- Work from home
Quick Apply
Remote Psychologist - US Location
APN Staffing & Employment Solutions —United States
- $100,000 a year
- Full-time
- Remote
- Word processing
- Writing skills
- Mid-level
Quick Apply
12d

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Care Coordinator, RN (MSHO)
Bluestone Physician Services —North Branch, MN
Must have a valid driver's license. Mileage reimbursement program for field employees. Conducting annual assessments including Personal Care Assistance (PCA)…
$65,000 - $75,000 a year
Quick Apply
2d

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Utilization Management Specialist
ST VINCENT FAMILY SERVICES —Columbus, OH
Associate's Degree required; Bachelor's Degree preferred in Healthcare Administration, Business Administration, Social Work, Public Health, or related field.
Quick Apply
4d
Utilization Review Specialist - Autism
Nationwide Children's Hospital —Columbus, OH
Bachelor’s Degree in Social Work, Psychology, or related field, required. Conducts utilization reviews of behavioral health cases to determine medical necessity…
9d

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utilization management jobs near luck wi

Care Coordinator, LSW (MSHO)

Bluestone Physician Services -
North Branch, MN

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Job Details

Full-time
$65,000 - $75,000 a year
2 days ago

Benefits

Mileage reimbursement
Health savings account
Paid holidays
Disability insurance
Health insurance
Dental insurance
Flexible spending account
Paid time off
Cell phone reimbursement
Vision insurance
Life insurance
Retirement plan

Qualifications

Driver's License

Full Job Description

Bluestone delivers great outcomes by bringing exceptional care to patients living with complex, chronic conditions and disabilities. Our unique, robust model of care goes beyond primary care services — our multidisciplinary care teams collaborate with patients, their families and other healthcare providers to deliver care that is preventative, proactive and tailored to their unique needs.

Using an evidence-based approach focused on quality care management and data-driven medical decisions, Bluestone care teams collaborate to manage patients' chronic conditions, address social determinants of health, manage transitions to and from inpatient settings, provide behavioral health support and more. Under our model of care, Bluestone patients experienced 21% fewer ER visits, 36% fewer hospitalizations and 41% fewer hospital readmissions compared to patients with similar conditions and complexities over the same time period.

Our care teams travel directly to patients who reside in Assisted Living, Memory Care and Group Home communities throughout Minnesota, Wisconsin and Florida and are supported by clinical operations and administrative colleagues who work remotely or at our corporate offices in Stillwater, Minnesota, and Tampa, Florida.

Our success is only possible through the hard work of our employees who bring our core values of Dedication, Excellence, Collaboration and Caring to life every day. Bluestone has been named to the Star Tribune's Top Workplace list for the 14th year in a row! Bluestone also achieved Top Workplace USA 2021-2026! In 2022, Bluestone Accountable Care Organization (ACO) was the best performing ACO in the country as measured by the overall savings per Medicare beneficiary.

Position Overview:

Join our team as a Care Coordinator where you will work with the senior population managing Department of Human Services (DHS) and Center for Medicare/Medicaid Services (CMS) required activities for Minnesota Senior Health Options (MSHO/MSC+) members living in the community and assisted living facilities. In this position, you will work from home, but regularly travel your local area to serve the needs of your members and your community.

Schedule: Full time position, day shift hours, no evenings, weekends or holidays. Hours are 8am to 5pm Monday thru Thursday & 8am to 3pm on Fridays.

Location: ~50-70% travel throughout the Norht Branch area and ~30-50% remote work.

Salary Range: $65,000 - $75,000. Salary commensurate with experience.

Responsibilities:

As a Care Coordinator, you will manage member caseloads within your assigned geographic area. This includes:

Coordinating face-to-face visits
Managing the Elderly Waiver
Conducting annual assessments including Personal Care Assistance (PCA) assessments for community members and customized living tools for members residing in Assisted Livings
Reviewing current health needs, identifying goals, and developing individualized care plans
Helping connect members with community and state resources and services
Completing required documentation
Collaborating with medical care teams to ensure health care quality measures are met and use utilization management tools to meet value-based goals
Supporting members during transitions of care as well as collaborating with their care team to ensure a safe discharge and follow up plan

Qualifications:

Education/Certification/Experience

Current MN Licensed Social Worker (new grads encouraged to apply)
OR Minnesota Registered Nurse license
One or more years of experience working with the geriatric or certified disabled population in case management/care coordination, Home Care, Group Homes, Nursing Homes, TCU or Assisted Living settings preferred
Must have a valid driver's license

Knowledge/Skills/Abilities

Ability to work independently
Access to a private and compliant home office space
Creative problem-solving skills
Appreciation for working with diverse populations
Proven ability to communicate effectively with strong verbal skills
Excellent interpersonal and customer service skills
Demonstrated compatibility with Bluestone's mission and operating philosophies
Demonstrated ability to read, write, speak, and understand the English language

Bluestone Benefits:

Health Insurance
Dental Insurance
Vision Materials Insurance
Company paid Life Insurance
Company paid Short and Long-term Disability
Health Savings Account (with employer contribution)
Flexible Spending Account (FSA)
Retirement plan with 4% matching contributions
Nine (9) paid holidays for office closures plus one (1) floating holiday
Three weeks (15 Days) Paid Time Off (PTO)
Mileage reimbursement program for field employees
Company sponsored cell phone, laptop and scrubs
Regular business hours

Quick Apply

Refine Your Search

utilization management jobs in luck wi

Care Coordinator, LSW (MSHO)

Care Coordinator, RN (MSHO)

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

Remote Physician (MD/DO), PMR or Neurology, Outpatient Prior Authorizations (REMOTE/FT) (IC to FTE)

Remote Psychologist - US Location

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