Clinical Utilization Manager
1 day ago
We are seeking an experienced Clinical Utilization Manager to join our team at Erlanger Health. In this role, you will play a crucial part in ensuring that patients receive the necessary care while minimizing unnecessary costs.
About the Role- You will be responsible for reviewing patient records and determining medical necessity of admissions, observations, and procedures.
- You will work closely with physicians to obtain information and make informed decisions about patient care.
To be successful in this role, you will need:
- A current license to practice nursing in the State of Tennessee.
- Broad clinical experience, preferably in utilization management.
- Knowledge of managed care practices and regulatory issues.
We offer a competitive salary of $95,000 per year, as well as a comprehensive benefits package, including health insurance, retirement plans, and paid time off.
Why Join Us?Erlanger Health is a leading healthcare provider in the region, offering a dynamic and supportive work environment. We are committed to delivering high-quality patient care and value our employees' contributions to achieving this goal.
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