Clinical Care Coordinator

3 weeks ago


Chattanooga, Tennessee, United States Medicine Journal Full time
Job Description
As a Nurse Clinical Utilization Manager at Medicine Journal, you will play a critical role in ensuring that our patients receive the necessary care and attention. You will work closely with our interdisciplinary staff to conduct initial and concurrent reviews of patient records, gather information from physicians, and determine medical necessity.

Your expertise will help us identify opportunities for improving patient outcomes and reducing costs. You will be responsible for observing patient cases, capturing avoidable days, and participating in performance improvement activities. A strong understanding of managed care practices and regulatory issues is essential for success in this role.

Key Responsibilities
* Conduct initial and concurrent reviews of patient records
* Gather information from physicians to determine medical necessity
* Identify opportunities for improving patient outcomes and reducing costs
* Participate in performance improvement activities
* Maintain accurate records and reports

About the Candidate
We are seeking a highly skilled and experienced nurse who has a strong clinical background and experience in utilization management. You should have a current license to practice nursing in the State of Tennessee, as well as the ability to obtain multistate licensure from a compact state within three months of hire. A salary of $85,000 per year, plus benefits including health insurance, retirement plan, and paid time off, is offered for this exciting opportunity.

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