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Utilization Management

3 months ago

Phoenix, United States NaphCare Full time

Overview:

NaphCare is hiring a strong Utilization Management (UM) Liaison to join our Utilization Management team located at our Regional Headquaters in Arizona.

Under the direct supervision of the Director of Contracting and Network Development, the UM Liaison ADCRR is responsible for performing clerical and administrative tasks to support the overall function of the UM department. The UM Liaison-ADCRR is responsible for responsible for effective communication flow between various departments and providers, supporting the UM Administrative staff to achieve the overall goal of retrieving medical records within the specified time period, data collection, data entry, data verification, and other general administrative functions. The UM Liaison ADCRR must have excellent written, verbal, and interpersonal skills; be customer service oriented and organized; and have the ability to problem solve.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system

NaphCare Benefits for Full-Time Employees Include:

  • Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one
  • Lowest Cost Benefits $44 for single, $105 for family
  • Employment Assistance Program (EAP) services
  • 100% vested 401K and Roth with company contribution that starts day one
  • Tuition Assistance
  • Referral bonuses
  • On-site education
  • Free Continuing Education
  • Term life insurance at no cost to the employee
  • Generous paid time off & paid holidays

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up-to-date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.

With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.

We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.

Responsibilities:

Responsibilities for Utilization Management (UM) Liaison:

The UM Liaison ADCRR will be responsible for creating and maintaining site specific accurate directories, and ensuring all contracted providers are in the directories for use by the onsite Schedulers. The position requires the ability to manage communication and effectively interact and present information regarding the network to Clinical Coordinators/Schedulers, as well as perform market research for network development. The UM Liaison ADCRR will be expected to work effectively and multi-task in a fast-paced, results-oriented environment, and exercise a high degree of initiative, judgment, discretion and decision-making to achieve organizational objectives.

Qualifications:

Qualifications for Utilization Management (UM) Liaison:

  • A High School Diploma or equivalent is required; some college experience preferred
  • A minimum of 2 years of healthcare experience
  • Good communication and organizational skills, attention to detail, and the ability to interact positively with outside clients, providers, co-workers and supervisors
  • Ability to work effectively in a fast-paced, results-oriented environment, and exercise a high degree of initiative, judgment, discretion and decision making to achieve organizational objectives
  • Must be able to multi-task and work independently
  • Hybrid position allowed (after training)
  • Other duties as assigned

We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location youre interested in.

Equal Opportunity Employer: disability/veteran