Clinical Nurse-Utilization Management Specialist

2 weeks ago

Muncie, Indiana, United States Indiana University Health Full time
About the Role

We are seeking a skilled Clinical Nurse-Utilization Management professional to join our team at Indiana University Health. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of high-quality, cost-effective care to our patients.

Key Responsibilities
  • Perform utilization review of inpatient admissions, outpatient surgeries, and ancillary services to determine medical necessity and appropriateness of services.
  • Collaborate with physicians and other providers to facilitate provision of services throughout the healthcare continuum.
  • Act as a member advocate by expediting the care process through the continuum, working in concert with the healthcare team to maintain high-quality and cost-effective care delivery.
  • Develop and implement effective utilization management strategies to optimize resource utilization and improve patient outcomes.
Requirements
  • Requires an Associate's degree in Nursing (ASN).
  • Bachelor's degree in Nursing (BSN) preferred.
  • Requires an active Registered Nurse (RN) license in the state of Indiana or an active Nurse Licensure Compact (NLC) RN license.
  • Requires 3-5 years of relevant experience.
  • Basic Life Support certification through the AHA or other advanced life support certifications may be required per unit/department specialty according to patient care policies.
  • Requires proficiency in Microsoft Office and applications.
  • Requires understanding of medical record requirements, regulations, and policies.
About Us

Indiana University Health is a comprehensive health system with 15 hospitals and nearly 40,000 team members serving Hoosiers across the state. We are committed to delivering high-quality, patient-centered care and are dedicated to advancing healthcare for all.

We offer a range of benefits and opportunities for professional growth and development, including advanced clinical training, leadership development, promotion opportunities, and cross-training development. If you are a motivated and compassionate healthcare professional looking to make a difference in the lives of our patients, we encourage you to apply for this exciting opportunity.

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