UM​/Case Management Lead - Care Coordination & Compliance

A healthcare organization in Oskaloosa is seeking a Utilization Management Case Management Lead to oversee Utilization Review and Discharge Planning functions, ensuring compliance with CMS and Joint Commission standards. Responsibilities include coordinating care transitions, managing patient admissions, and leading denial processes. The ideal candidate will hold a nursing degree, have experience in case management, and possess strong communication and analytical skills.

This role is critical for optimizing patient outcomes while maintaining efficient resource use.
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