Clinical Utilization Manager
2 weeks ago
We are seeking a skilled Clinical Utilization Manager to join our team at Providence Regional Medical Center Everett. As a key member of our healthcare team, you will be responsible for overseeing utilization management and reviewing patient care delivery while in the hospital. Your expertise will be essential in providing clinical reviews and denial appeals where necessary, either during admission or post-discharge.
About the RoleThis is a unique opportunity to work in a dynamic and patient-focused environment where our caregivers are valued and empowered to make a difference. As a Clinical Utilization Manager, you will be part of a team that is committed to delivering high-quality care and improving patient outcomes.
Responsibilities- Oversee utilization management and review patient care delivery while in the hospital
- Provide clinical reviews and denial appeals where necessary
- Collaborate with healthcare teams to ensure effective care coordination
- Develop and implement strategies to improve patient outcomes and reduce healthcare costs
- Bachelor's Degree in Nursing (BSN)
- Washington Registered Nurse License
- Experience as an RN in an acute care setting within the last 5 years, or recent Utilization Management experience
At Providence, we are committed to providing a supportive and inclusive work environment that allows our caregivers to thrive. We offer a comprehensive benefits package, opportunities for professional growth and development, and a chance to make a meaningful difference in the lives of our patients and communities.
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