Tuba City, Arizona30+ days ago
This position provides oversight for the local Care Coordination department to include: administrative staff for review of eligibility, authorizations and scheduling etc., Social Workers for discharge planning and case management, Registered Nurses (RN's) for case management, utilization review, discharge planning, and processes related to review and approval of Purchased Referred Care referral requests (for justification and medical necessity), and/or denial of Purchased Referred Care referrals and/or cases, and denied/appealed care claims based on eligibility criteria. This position requires the mental & emotional requirement ability to cope with high levels of stress; make decisions under high pressure; copy with anger/fear/hostility of others in a calm way; manage altercations; concentrate; handle a high degree of flexibility; handle multiple priorities in a stressful situation; work alone; demonstrate a high degree of patience; and work in areas that are close and crowded.