Clinical Utilization Manager RN
4 weeks ago
This Clinical Utilization Manager RN opportunity is available at Christus Health, where you will play a vital role in managing patient care and ensuring the most effective use of resources.
Key Responsibilities:- Collaborate with healthcare providers to develop and implement comprehensive patient care plans, focusing on efficient resource allocation and optimal patient outcomes.
- Conduct thorough utilization reviews using nationally recognized medical necessity criteria, identifying opportunities for cost savings and quality improvement.
- Communicate effectively with patients, families, and multidisciplinary teams to ensure seamless transitions and effective discharge planning.
- Stay up-to-date with regulatory requirements and industry standards, ensuring compliance and adherence to established guidelines.
- Participate in interdisciplinary rounds and contribute to the development of innovative solutions to complex clinical challenges.
- Degree: Associate of Science in Nursing
- Licenses/Certifications:
- L-RN Single-state licensure
- C-BLS certification (optional)
- Experience: Five years of recent relevant clinical experience in an acute care facility, with expertise in utilization management and patient education.
Christus Health is a faith-based, not-for-profit health system committed to delivering high-quality, compassionate care to our communities. We offer competitive salaries, excellent benefits, and opportunities for professional growth and development.
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