Clinical Nurse Specialist

7 days ago


Birmingham, Alabama, United States Community Health System Full time

Job Summary

We are seeking a skilled Clinical Nurse Specialist to lead our Utilization Review team. In this role, you will be responsible for overseeing the analysis of medical services and procedures, ensuring that they are necessary, appropriate, and efficient.

About Grandview Medical Center

Grandview Medical Center is a 434-bed regional referral center and tertiary-care facility located in Birmingham, AL. Our hospital offers a wide range of programs and services, including cardiology, oncology, neurology, women's health, mental health, and more. We have over 600 physicians on staff representing 30 specialties and subspecialties.

Responsibilities

  • Lead the utilization review team in analyzing medical services and procedures
  • Ensure that services are necessary, appropriate, and efficient
  • C coordinate insurance specific duties, including CURP protocol
  • Liaise with payers to obtain authorization for services
  • Develop and implement policies and procedures to improve patient care and outcomes

Requirements

  • Bachelor's degree in nursing required
  • Three years of previous nursing experience required
  • LPN or RN degree preferred

Benefits

  • Competitive salary: $85,000 - $110,000 per year
  • Major medical, dental, vision, and life insurance
  • 401(k) plan with company match
  • Paid time off and holidays
  • Tuition reimbursement

About Community Health System

Community Health System is committed to providing high-quality patient care and promoting healthy communities. We believe in the power of great people and a team approach to make a difference in the health and well-being of the people we serve. Compassion, a commitment to excellence, a safe environment, and opportunities for personal growth define our culture.



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