Clinical Utilization Manager RN

4 weeks ago


Alamogordo, New Mexico, United States Christus Health Full time
Job Summary

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.
Requirements:
  • 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.
About Us

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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