Care Management Nurse

1 day ago


Tyler, Texas, United States Christus Health Full time
Job Title: Utilization Management Nurse II

At Christus Health, we are seeking a highly skilled Utilization Management Nurse II to join our team. As a key member of our healthcare team, you will play a critical role in ensuring the delivery of high-quality patient care while promoting efficient use of hospital resources.

Key Responsibilities:
  • Conduct thorough assessments of patient information and treatment plans to determine medical necessity and appropriateness of care.
  • Utilize evidence-based guidelines and criteria to make informed decisions regarding patient care and resource utilization.
  • Collaborate with healthcare professionals to ensure seamless communication and coordination of patient care.
  • Develop and maintain knowledge of regulatory requirements and industry standards to ensure compliance.
  • Proactively identify and address potential issues related to patient care and resource utilization.
Requirements:
  • Graduate of an accredited School of Nursing or demonstrated success in the Utilization Management Nurse I role for at least five years at Christus Health.
  • Two or more years of clinical experience with at least one year in the acute care setting or demonstrated success as Utilization Management Nurse I role at Christus Health.
  • LPN or LVN license accepted for associates with 5+ years of demonstrated success and experience in the Utilization Management Nurse I role at Christus Health.
  • Certification in Case Management preferred.
Work Environment:

This is a full-time position working Monday-Friday, 8am-5pm. The ideal candidate will possess excellent communication and negotiation skills, with the ability to work effectively in a fast-paced environment.

Christus Health is an equal opportunity employer and welcomes applications from diverse candidates. If you are passionate about delivering high-quality patient care and promoting efficient use of hospital resources, we encourage you to apply for this exciting opportunity.


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