UM In-Patient Clinical Specialist (OR, ID, UT, WA)

TEKsystems
$25.00 / hr
life insurance, paid time off, sick time, 401(k), retirement plan
United States, Oregon, Portland
Jan 09, 2025
Description The Utilization Management Inpatient (UM IP) Clinical Specialist receives, researches, and takes action related to documentation and requests from a variety of sources related to Inpatient Utilization Management (UM) cases. The UM IP Clinical Specialist does not make clinical decisions, but partners with licensed health professionals on appropriate actions and responses to support efficient and effective clinical reviews. Additional Skills & Qualifications * Reading medical records - high level of detailed awareness * (Epic is nice but will training on any system they need to go into) * Health plan experience * Not looking for a medical records department, but open to working with records within a clinical capacity. understand how records are set up and function * Technology friendly * Ideal for a MA or CNA with Hospital experience. Needs a mix of medical records/content/clinical exposure: Can they read it, critically thing about knowing what they are looking at? No license/certs needed but would be nice, if it was someone who was recently licensed, but had lapsed would be good too. Need consistent work history as well as recent and relevant experience. nothing more then 5 years removed with nothing relevant sooner. Disqualifier: only outpatient experience. if that all, then need details on what they specifically were doing. No clinical records experience or understanding. Minimum Requirements * Clinical experience, preferably in the inpatient hospital setting. * Strong and effective communication skills, both oral and written. * Ability to work in a fast-paced environment while maintaining accuracy of work, confidentiality, and focus on meeting customer needs. * Intermediate computer skills (e.g. Microsoft Office, Outlook, Internet search) and experience with health care systems and documentation (EMR, billing and claims). * Preference given to significant prior experience navigating and documenting in an EMR. * Demonstrated knowledge of medical terminology, anatomy and coding (CPT, DX, HCPCs). * Strong organization, data entry, and administrative skills. * Ability to investigate and research complex issues and inquiries related to IP UM case work, use critical thinking skills and work with clinical staff to resolve them. UM IP Clinical Specialist would have a high school diploma or equivalent and 2 years inpatient hospital experience, or an equivalent combination of education and experience. CMA or CNA preferred. We reserve the right to pay above or below the posted wage based on factors unrelated to sex, race, or any other protected classification. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. This temporary role may be eligible for the following: Medical, Dental & Vision 401(k)/Roth Basic/Supplemental Life & AD&D Short and long-term disability HSA & DCFSA Transportation benefits Employee Assistance Program Company Paid Time off or State Sick Leave #prioritywest Pay and Benefits The pay range for this position is $25.00 - $25.00 Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: * Medical, dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available * Life Insurance (Voluntary Life & AD&D for the employee and dependents) * Short and long-term disability * Health Spending Account (HSA) * Transportation benefits * Employee Assistance Program * Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a fully remote position. Application Deadline This position will be accepting applications until Jan 17, 2025. About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.