Behavioral Health Utilization Management Jobs in Oregon

Computer skills in word processing, database management, and spreadsheet desirable.

Knowledge in areas of: Medicare and Medicaid UM regulations, McKesson InterQual, and Denial Management.

Two (2) years of experience in Acute Clinical Care or Medical Management setting, adult and children.

Identifies members that are high risk or have conditions that may need case or disease management.

Enters and maintains pertinent clinical information in health management system.

Participates in utilization management committees and works on special projects related to utilization management as needed.