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Clinical Utilization Review Specialist

2 months ago

Olney, Maryland, United States HH MedStar Health Inc. Full time
Job Summary

We are seeking a skilled Clinical Utilization Review Specialist to join our team at HH MedStar Health Inc. As a key member of our healthcare team, you will play a vital role in ensuring the highest quality patient care.

Key Responsibilities
  • Facilitate patient care by reviewing medical criteria standards and benchmarks.
  • Coordinate patient transitions in accordance with utilization review guidelines and admission criteria.
  • Communicate with clinical and utilization review staff regarding patient progress and movement through the system.
  • Plan for patient discharge, making necessary arrangements and contacts.
  • Provide education to patients, families, and staff on continuing care options.
What We Offer
  • A collaborative and inclusive work environment.
  • Career growth opportunities through mentoring and skill development.
  • Competitive salary and Total Rewards benefits.
  • Regional and national recognition, advanced technology, and leading medical innovations.
Qualifications
  • ADN, BSN, MSN, or CNL from an accredited School of Nursing.
  • 1-2 years of utilization review experience in an acute medical inpatient setting.
  • Active MD RN License or Active Compact State RN required.