Medical Utilization Specialist
6 days ago
We are seeking a highly skilled Vocational Nurse Manager to join our team at Clinica Romero.
The estimated salary for this position is $67,000 - $80,000 per year.
About the Role:
This is a challenging and rewarding role that requires strong leadership skills, attention to detail, and excellent communication skills.
Responsibilities:
- Concurrent review of patients' clinical information for efficiency
- Ongoing review of precertification requests for medical necessity
- Monitor the activities of clinical and non-clinical staff
- Coordinates patients' discharge planning needs with the healthcare team
- Maintain accurate records of all patient-related interactions
- Prepare monthly patient management and cost savings report
- Perform utilization review activities, including precertification, and retrospective reviews according to guidelines
Requirements:
- License Vocational Nurse
- Minimum one year supervisory experience in a medical office, clinic, or other health care facility
- High school graduate or GED equivalent; BA/BS or equivalent experience; completion of Board of Vocational Nursing
- Cultural and linguistic competency and diversity sensitivity
- Ability to manage priorities, workflow, and multiple tasks in an ever-changing environment
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