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Company Overview

Schumacher Group is one of the nation’s largest and fastest-growing health care resources, partnering with more than 3,000 providers to help treat more than 4 million patients annually.

Our innovative, patient-centered solutions cover the entire continuum of care, including Emergency Medicine, Hospital Medicine, Care Management, Urgent Care, Physical Medicine and Medical Billing.

We also offer WellnessWorks, which links providers with employers to make health care work better for all before patients ever need treatment.

As a privately held, physician-driven company, we answer to stakeholders, not stockholders. We’re committed to doing the right thing for the clients we serve and for the providers who work with us. Our ultimate goal? To improve treatment of the most important person in health care: the patient.

"We answer to stakeholders, not stockholders. We're committed to doing the right thing for the patients and hospitals we serve - and for the physicians who work with us."

Learn More about Schumacher Group
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Case Manager / Utilization Review Nurse Apply Now
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Job Description


Schumacher Group is seeking home based Registered Nurses for our Care Management Division.  These clinicians will join an elite group of Care Management Specialists performing complex medical record reviews.  The ideal candidate has 3+ years clinical experience in  a hospital setting, is energetic and flexible, and possesses strong communication skills (verbal / written).  Proficiency with technology, InterQual, Utilization Review and Case Management required.

 

This is a great opportunity to be a part of an organization that is rapidly growing and offering opportunities for personal and professional development!

 

Benefits:
Flexible Scheduling
Ability to Work From Home
Competitive Compensation
Training and Equipment Provided
Growth Opportunities




Care Managers in the Care Management Call Center provide admission and continued stay clinical reviews of hospital inpatient charts, appropriately applying InterQual criteria.  She/he will also provide secondary and/or validation reviews for work completed by co-workers.

  • Ability to read patient charts and to determine the physician’s plan of care.
  • Ability to appropriately apply InterQual criteria to accomplish admission and continued stay reviews.
  • Ability to identify missing clinical information related to admission diagnosis, and attempt to obtain required documentation through verbal and/or written query process.
  • Ability to recognize need for documentation improvement and attempt to query when questions arise.
  • Will accomplish secondary and/or validation reviews for co-workers.
  • Will possess the ability to conduct UR reviews on behalf of the hospital, with contact to third party insurers, if needed in future
  • Has a baseline knowledge of ED operations
  • Demonstrates responsibility for personal development by participation in continuing education offerings
  • Attends continuing education offerings


Job Requirements

Educational and/or Professional Qualifications:

Registered Nurse – graduated from a qualified program of nursing, possesses an active RN license and is in good standing with State Board of Nursing.  

Extensive clinical experience, 3 years required.

Current knowledge in Case Management and InterQual required.

 

Other Special Training/Skills:

High level of organizational skills and priority setting

Critical thinking skills

Highly developed communication skills

Ability to function independently during case reviews

Ability to successfully complete IRR certification

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