Clinical Care Specialist
1 month ago
We are seeking a skilled Clinical Care Specialist to join our team at w3r Consulting. The ideal candidate will have a strong background in healthcare and experience in utilization review, case management, and patient care.
Key Responsibilities:
- Review precertification admission and concurrent reviews for the appropriateness of the inpatient setting using InterQual criteria.
- Collaborate with facilities, providers, and Medical Directors to ensure seamless care delivery.
- Enter or reference data via PC and maintain accurate records.
- Develop and implement effective care plans to meet patient needs.
Requirements:
- Registered Nurse with current unrestricted Michigan Registered Nurse license.
- Associate Degree or nursing diploma required.
- Two years patient care experience.
- Triage, case management, or utilization review experience.
- Expertise in medical terminology and InterQual knowledge preferred.
Preferred Qualifications:
- ICU/ER experience or post-acute care experience in SNF/Rehab/LTACH settings.
- Advanced computer skills and 40+ WPM typing.
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