Clinical Care Specialist

1 month ago


Detroit, Michigan, United States w3r Consulting Full time
Job Summary

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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