Clinical Optimization Specialist

4 days ago


Irving, Texas, United States Impresiv Health Full time

About the Role

The Clinical Optimization Specialist at Impresiv Health plays a crucial role in ensuring the clinical appropriateness of care provided to patients, thereby optimizing hospital resource utilization. This position involves conducting pre-admission, concurrent, and retrospective UM reviews using approved screening criteria.

Key Responsibilities

  • Perform thorough pre-admission, concurrent, and retrospective UM reviews to ensure clinical appropriateness of care.
  • Utilize approved screening criteria (InterQual/MCG/Centers for Medicare and Medicaid Services) to make informed decisions.

Requirements

  • Bachelor's degree in Nursing or a related field.
  • Current RN licensure.
  • Excellent analytical and communication skills.

What We Offer

  • An estimated annual salary range of $73,000-$105,000 based on experience and qualifications.
  • A dynamic work environment that fosters growth and development.

Why Choose Us

Impresiv Health is committed to delivering high-quality patient care while promoting efficient resource utilization. Our team of professionals shares this vision and works collaboratively to achieve it. If you are passionate about improving healthcare outcomes and optimizing resource allocation, we encourage you to consider this exciting opportunity.



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