Healthcare Utilization Manager for Cynet Health

1 week ago


Boston, Massachusetts, United States Cynet Health Full time

At Cynet Health, we are seeking a skilled Registered Nurse to join our team as a Healthcare Utilization Manager. This exciting opportunity offers a chance to make a meaningful impact in the healthcare industry while enjoying a fulfilling career with our company.

The ideal candidate will possess a strong background in nursing and experience in care management. With a minimum of 3 years of experience, preferably 5+ years, you will have a deep understanding of current medical-surgical patterns of practice and acute inpatient care. Your expertise in Utilization Management and Care Management will be invaluable to our team.

As a Cynet Health employee, you can expect a competitive salary range of $85,000 - $110,000 per year, depending on your level of experience and qualifications. Our company values its employees and provides a comprehensive benefits package, including health insurance, retirement plans, and paid time off.

Key Responsibilities:

  • Collaborate with interdisciplinary teams to assess, plan, implement, monitor, and evaluate options and services required to meet patients' health needs.
  • Utilize good communication and available resources to promote quality, cost-effective outcomes for 18-22 patients.
  • Manage length of stay and promote efficient utilization of resources.
  • Determine medical necessity and appropriateness of admission using InterQual screening and an inpatient list from Medicare.

In this role, you will work closely with our team to ensure quality care management and effective utilization of resources in a patient-centered environment. If you are passionate about delivering exceptional patient care and have a strong commitment to excellence, we encourage you to apply for this challenging and rewarding position.



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