Clinical Utilization Manager
3 days ago
Shaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.
About the Role:This is a challenging and rewarding opportunity for a Registered Nurse with experience in Utilization Management to work in a dynamic and fast-paced environment. You will be responsible for reviewing medical necessity, level of care, and appropriateness of setting for patients, using established criteria and clinical guidelines.
Key Responsibilities:- Perform admission and concurrent review to identify medical necessity, level of care, and appropriateness of setting within 24 hours of admission.
- Collaborate with primary nurses and other healthcare providers to ensure a multidisciplinary plan-of-care is in place to meet identified patient care needs and desired outcomes.
- Manage observation level of care and work with attending physicians and/or clinical providers to ensure observation status does not exceed 48 hours.
- Identify system issues that serve as barriers to care and participate in development and implementation of strategies to remove barriers and facilitate performance improvement measures.
- Monitor efficiencies in scheduling diagnostic procedures and coordination of treatments to facilitate achievement of effective clinical, fiscal, quality, and patient satisfaction goals.
- Active DE RN licensure or compact state RN licensure.
- Bachelor's degree in nursing.
- Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting.
- Clinical documentation, performance improvement, case management, or utilization management experience desirable.
- Competitive salary and benefits package.
- Opportunities for professional growth and development.
- Collaborative and dynamic work environment.
Shaker for ChristianaCare Direct is an equal opportunity employer and welcomes applications from diverse candidates.
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerWe are seeking a skilled Clinical Utilization Manager to join our team at Shaker for ChristianaCare Direct. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:The Clinical Utilization Manager will be...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerWe are seeking a skilled Clinical Utilization Manager to join our team at Shaker for ChristianaCare Direct. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:The Clinical Utilization Manager will be...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
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Clinical Utilization Manager
3 days ago
Cincinnati, Ohio, United States Shaker for ChristianaCare Direct Full timeJob Title: Clinical Utilization ManagerShaker for ChristianaCare Direct is seeking a skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.About the Role:This is a unique opportunity to work in a dynamic...
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