Utilization Management Coordinator COHQ UCHC

Position Details
Position Information
Recruitment/Posting Title
Utilization Management Coordinator COHQ UCHC

Job Category
Staff & Executive - Medical (Clinical) - Nursing

Department
UCHC-Ph-UCHC'S Admin

Overview
University Correctional Health Care (UCHC), operating within Rutgers, The State University of New Jersey, is dedicated to excellence in providing physical, mental health, dental and sex offender treatment services to those involved in the criminal justice systems in New Jersey. UCHC operates with a total budget of $150 million and approximately 1,000 staff.

We are committed to being a leader in the delivery of effective, compassionate and accessible care informed by research within correctional environments.

We Care. We Teach. We Heal. We Improve.

Rutgers, The State University of New Jersey, is a leading national research university and the state of New Jersey's preeminent, comprehensive public institution of higher education. Established in 1766 and celebrating a milestone 250th anniversary in 2016, the university is the eighth oldest higher education institution in the United States. More than 67,000 students and 22,000 faculty and staff learn, work, and serve the public at Rutgers locations across New Jersey and around the world.

Posting Summary
Rutgers University Correctional Healthcare (UCHC) is seeking a Utilization Management Coordinator for in Central Administration Offices located in Trenton, NJ. The Utilization Management Coordinator performs utilization reviews for medical services provided by hospitals and other auxiliary medical services; negotiates re-pricing charges for hospital and other auxiliary medical services.

Duties include: Performs utilization/quality improvement reviews in accordance with established quality management procedures.
Maintains close interaction with internal and external customers in a professional manner.
Develops and manages the existing UCHC provider network.
Maintains provider database

Position Status
Full Time

Hours Per Week
40

Daily Work Shift
Day

Work Arrangement
This position requires a full onsite work arrangement.

FLSA
Exempt

Grade
25S

Position Salary

Annual Minimum Salary
70041.00

Annual Mid Range Salary
84083.00

Annual Maximum Salary
99858.00

Standard Hours
40.00

Union Description
HPAE 5094

Payroll Designation
PeopleSoft

Benefits
Rutgers offers a comprehensive benefit program to eligible employees. For details, please go to /uhr.rutgers.edu/benefits/benefits-overview .

Seniority Unit

Terms of Appointment
Staff - 12 month

Position Pension Eligibility
ABP

Qualifications
Minimum Education and Experience

Certifications/Licenses

Required Knowledge, Skills, and Abilities Bachelor of Nursing (BSN) or bachelor's degree in related clinical field (LCSW, LFC, Psychology).
Additional related experience may be substituted for the degree on a year-for-year basis.
A minimum of two (2) years of related experience required.
CPR Certification required.
Computer literacy.
A valid driver's license is required. Possesses own vehicle or alternative means of transportation from one site to another.
Preferred Qualifications Minimum of one (1) year of experience in a correctional setting preferred.
Minimum of one (1) year of experience as a Utilization Review Nurse is highly desirable.

Equipment Utilized

Physical Demands and Work Environment

Special Conditions
Must be approved by the Department of Corrections (DOC) and adhere to all DOC requirements

Posting Details
Posting Number
24ST2793

Posting Open Date

Special Instructions to Applicants

Regional Campus
Rutgers Biomedical and Health Sciences (RBHS)

Home Location Campus
Off Campus

City
Trenton

State
NJ

Location Details
Central Administration Offices location Trenton, NJ

Pre-employment Screenings
All offers of employment are contingent upon successful completion of all pre-employment screenings.

Immunization Requirements
Under Policy 100.3.1 Immunization Policy for Covered Individuals, if employment will commence during Flu Season, Rutgers University may require certain prospective employees to provide proof that they are vaccinated against Seasonal Influenza for the current Flu Season, unless the University has granted the individual a medical or religious exemption. Additional infection control and safety policies may apply. Prospective employees should speak with their hiring manager to determine which policies apply to the role or position for which they are applying. Failure to provide proof of vaccination for any required vaccines or obtain a medical or religious exemption from the University will result in rescission of a candidate's offer of employment or disciplinary action up to and including termination.
Affirmative Action/Equal Employment Opportunity Statement
It is university policy to provide equal employment opportunity to all its employees and applicants for employment regardless of their race, creed, color, national origin, age, ancestry, nationality, marital or domestic partnership or civil union status, sex, pregnancy, gender identity or expression, disability status, liability for military service, protected veteran status, affectional or sexual orientation, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other category protected by law. As an institution, we value diversity of background and opinion, and prohibit discrimination or harassment on the basis of any legally protected class in the areas of hiring, recruitment, promotion, transfer, demotion, training, compensation, pay, fringe benefits, layoff, termination or any other terms and conditions of employment. For additional information please see the Non-Discrimination Statement at the following web address: /uhr.rutgers.edu/non-discrimination-statement