Clinical Utilization Review Specialist
5 days ago
We are seeking a skilled Utilization Review Nurse to join our Care Management team at Albany Medical Center. As a key member of our team, you will be responsible for ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.
Key Responsibilities- Conduct thorough utilization reviews to identify opportunities for improvement in patient care and resource utilization.
- Collaborate with healthcare teams to develop and implement effective care plans that meet patient needs and optimize resource use.
- Communicate with payors and other stakeholders to resolve issues and ensure seamless care transitions.
- Monitor and analyze data to identify trends and areas for improvement in care management and resource utilization.
- Develop and maintain strong relationships with healthcare teams, payors, and other stakeholders to ensure effective communication and collaboration.
- Registered nurse with a New York State current license.
- Bachelor's degree preferred.
- Minimum of three years clinical experience in an assigned service.
- Recent experience in case management, utilization management, and/or discharge planning/home care in a high-volume, acute care hospital preferred.
- Case Management certification preferred.
Albany Medical Center is an equal opportunity employer and offers a competitive salary and benefits package. If you are a motivated and detail-oriented individual with a passion for improving patient care and resource utilization, we encourage you to apply for this exciting opportunity.
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Clinical Utilization Review Specialist
2 weeks ago
Averill Park, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough reviews of patient records to identify opportunities for improvement...
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Clinical Utilization Review Specialist
2 weeks ago
Averill Park, New York, United States Albany Medical Center Full timeJob SummaryAlbany Medical Center is seeking a skilled Clinical Utilization Review Specialist to join our team. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in patient...
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Clinical Utilization Review Specialist
7 days ago
Averill Park, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Clinical Utilization Review Specialist to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the quality and efficiency of patient care.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement...
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Clinical Utilization Specialist
3 days ago
Averill Park, New York, United States Albany Medical Center Full time{"title": "Clinical Utilization Specialist", "content": "Job SummaryAlbany Medical Center seeks a skilled Clinical Utilization Specialist to join our Care Management team. In this role, you will be responsible for ensuring the efficient and effective use of healthcare resources while maintaining high-quality patient care.Key ResponsibilitiesConduct thorough...
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Nurse Utilization Review Specialist
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Utilization Review Nurse
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Clifton Park, New York, United States Albany Medical Center Full timeJob SummaryWe are seeking a highly skilled Utilization Review Nurse to join our team at Albany Medical Center. As a key member of our Care Management department, you will be responsible for ensuring the efficient and effective use of healthcare resources.Key ResponsibilitiesConduct thorough utilization reviews to identify opportunities for improvement in...
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Nurse Utilization Review Specialist
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Cliffside Park, New Jersey, United States VNS Health Full timeJob Title: Registered Nurse Utilization Review SpecialistVNS Health is seeking a highly skilled Registered Nurse to join our team as a Utilization Review Specialist. As a key member of our quality improvement team, you will play a critical role in ensuring the highest level of patient care and satisfaction.Responsibilities:Conduct clinical assessments,...
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Nurse Utilization Review Specialist
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Cliffside Park, New Jersey, United States VNS Health Full timeAbout the RoleVNS Health is seeking a skilled Registered Nurse to join our team as a Utilization Review Specialist. In this role, you will play a critical part in ensuring the highest quality of care for our patients.Key ResponsibilitiesConduct thorough clinical assessments, including medication reconciliations and post-discharge transitions of...
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