HC
Care Coordinator UM/CM I
full-time•Downers Grove•$61k - $136k
About this role
At HCSC, 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.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
Job Summary
This position is responsible for performing concurrent review in accordance with approved departmental guidelines; performing discharge planning and identifying alternate treatment programs; conducting episodic case management, consulting and collaborating with providers, members, and other resources as appropriate; assessing, planning, and implementing options and services required to meet an individuals health needs within the scope of their benefit plan.Required Job Qualifications:
- Registered Nurse (RN) with current, valid, unrestricted license to practice in state of operations.
- 3 years clinical practice experience.
- Experience utilizing various software packages.
- Verbal and written communication skills.
- Analytical skills.
- Incumbents with nursing licenses in positions/departments requiring multi-state licenses are required to obtain and maintain additional current, valid, and unrestricted applicable nursing licenses in other states as determined by management. Multi-state license fees will be provided by HCSC. Incumbents with other clinical licenses are not required to obtain multi-state licenses.
Preferred Job Qualifications:
- Familiarity with UM/CM activities and standardized criteria set.
- Knowledge of ancillary services including HHC, SNF, Hospice, etc.
Telecommute:
This is a Telecommute (Remote) role: Must reside within 250 miles of the office or anywhere within the posted state.
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Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are 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.
Base Pay Range
$61,500.00 - $136,100.00Exact compensation may vary based on skills, experience, and location.
What you'll do
- This position is responsible for performing concurrent review, discharge planning, and identifying alternate treatment programs. It also involves conducting episodic case management and collaborating with providers and members to meet health needs.
About Health Care Service Corporation
Health Care Service Corporation serves nearly 23 million people across the United States through its portfolio of health benefit solutions.
HCSC provides health coverage options for employers large and small, individuals and families, and Medicare and Medicaid plans. HCSC also offers related health care products and services such as pharmacy solutions, life and dental insurance, and health data technology. A Mutual Legal Reserve Company, HCSC is an independent licensee of the Blue Cross Blue Shield Association.
For nearly a century, we have enabled and coordinated the access to quality care for millions of members. Our experience and industry knowledge establishes a solid foundation for our future—driving innovations that further expand access, improve health outcomes, and reduce costs.
Embedded within the fabric of how we operate is a deep sense of caring and commitment that informs how we serve our members, engage in local communities, and deliver positive change to the health care industry.
As health care needs evolve, we leverage our portfolio of companies to deliver differentiated value to all industry stakeholders so that, together, we make more possible.
Join HCSC and discover what new ways of thinking can mean for you, your community, our customers and our organization: HCSC.com/careers. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to an inclusive, drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability, or protected veteran status.
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Frequently Asked Questions
What does Health Care Service Corporation pay for a Care Coordinator UM/CM I?
Health Care Service Corporation offers a competitive compensation package for the Care Coordinator UM/CM I role. The salary range is USD 62k - 136k per year. Apply through Clera to learn more about the full compensation details.
What does a Care Coordinator UM/CM I do at Health Care Service Corporation?
As a Care Coordinator UM/CM I at Health Care Service Corporation, you will: this position is responsible for performing concurrent review, discharge planning, and identifying alternate treatment programs. It also involves conducting episodic case management and collaborating with providers and members to meet health needs..
Is the Care Coordinator UM/CM I position at Health Care Service Corporation remote?
The Care Coordinator UM/CM I position at Health Care Service Corporation is based in Downers Grove, Illinois, United States. Contact the company through Clera for specific work arrangement details.
How do I apply for the Care Coordinator UM/CM I position at Health Care Service Corporation?
You can apply for the Care Coordinator UM/CM I position at Health Care Service Corporationdirectly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process.