Works to enhance the effective utilization of organizational resources to assist the Medical Center in achieving its goals of high quality, cost-effective patient care and service, and for continuity of care across the continuum. Demonstrates compliance with external regulatory agency standards.
Must have working knowledge in the use of Microsoft Office (Excel, Outlook, PowerPoint and Word) or similar products Knowledge of the components of quality and acute patient care needs specifically related to the area/function in which care management will be performed. Demonstrates working knowledge of Utilization Review criteria as demonstrated by achieving 80% or greater on the annual InterRater Reliability (IRR) competency exam. Utilizes critical thinking skills to analyze and synthesize clinical scenarios as it relates to application of medical necessity criteria. Excellent analytical and Interpersonal communication skills necessary to interact with families, patient, physicians and third party payers. Ability to manage conflict appropriately, seeking a win-win outcome by communicating issues in accordance with the Aurora Service commitments. Promotes effective professional relationships with physicians and other professionals in a direct and positive manner. Takes responsibility for self-development by seeking out opportunities for professional growth and development and being an active participant in department, hospital, and system initiatives.
We pride ourselves on taking care of our people. And not just our patients—we mean you, too. We help each other live well. When you work at Aurora, you get the chance to work with a dedicated team that’s as passionate about the work as you are. Here, you’ll find limitless opportunities for ongoing learning, career advancement, competitive compensation and a stable work environment. But more than that, you have the opportunity to change lives—including your own.
Diversity and inclusion matters at Aurora. We celebrate our differences and nurture an environment where everyone feels included. We know that when we reflect the communities we serve, when we embrace differences and bring our whole selves to work every day, we are working as one to build a healthier tomorrow for everyone. Aurora supports a safe, healthy and drug-free work environment through criminal background checks and pre-employment drug testing. We maintain a smoke-free environment at all our locations. We are an equal opportunity employer.