Career Opportunities at Valenz
Manager, Utilization Management
The Manager, Utilization Management oversees the UM clinical and support staff. This role is responsible for the operational oversight of the department in alignment with industry standards, URAC requirements, and organizational goals. Responsible to ensure high-quality services are provided to our clients, providers, and members in alignment with our commitment to smarter, better, faster healthcare by ensuring the right care at the right place and the right time.
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UM First Level Review Nurse
A First Level Review Nurse is responsible for timely prospective, concurrent, and retrospective review of Utilization Management (UM) activities. The position shall work collaboratively to promote quality care and cost-effective outcomes that will enhance the physical, psychosocial and vacation health of the plan participants.
RN Case Manager
The Care Manager acts as a patient/family advocate in coordinating and accessing medical necessity health care services within the benefit plan for members that have chronic, complex, and/or catastrophic conditions. The Care Manager shall work in a collaborative means to promote quality care and cost-effective outcomes that will enhance the physical, psychosocial, and vocational health of the plan participants.
Case Management Support Nurse
The Case Management Support Nurse works with the RN case management team, providing initial outreach calls, assignment of cases, and UM support as necessary. This role will maintain a caseload of low acuity surveillance cases providing stop loss updates and referrals to other services. The Support Nurse will work collaboratively to promote quality care and cost-effective outcomes that will enhance the physical, psychosocial, and vocational health of plan participants.
Intake Coordinator, Utilization Management
At Valenz we offer you the opportunity to make a difference and change the face of healthcare. Simplifying the complex to provide a seamless healthcare experience to members, providers, and clients is our mission. We are a fast growing and fast paced organization encouraging likeminded individuals to join us in creating a better healthcare future. A positive can-do culture with cross functional workflows makes this a great place to grow and develop your personal talents and career goals. This position is a provider and client focused telephonic position. Responsible for authorization initiation via phone, fax, and portal requests. This is a fully remote opportunity (dedicated home office space without distractions required) for someone who can work independently after the training period.
Client Service Executive
The Client Services Executive is the ambassador of the Vālenz brand as it relates to Vālenz’s existing book of business and will be the lead point of contact to build and maintain strong relationships. Individuals in this role will drive account management strategy across all lines of business (including upselling and cross selling), collaborate with internal departments to optimize client workflows, meet, and exceed customer expectations and deliver an excellent customer experience.
