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Clinical Utilization Specialist

2 months ago

Las Vegas, Nevada, United States Recruitics JB Full time
Job Summary

We are seeking a skilled Clinical Utilization Specialist to join our team at Recruitics JB. As a key member of our healthcare team, you will play a critical role in ensuring quality healthcare outcomes by establishing safe, individualized discharge plans and providing timely utilization management services.

Responsibilities
  • Collaborate with patients, families, and healthcare teams to achieve quality healthcare outcomes
  • Develop and implement individualized discharge plans to ensure safe and effective transitions of care
  • Conduct proactive utilization reviews to ensure maximum reimbursement for patient visits
  • Utilize computer proficiency to manage data, track patient outcomes, and identify areas for improvement
Requirements
  • Graduate of an accredited school of nursing
  • Minimum three years experience in varied clinical settings
  • Two years experience in Utilization Review, Utilization Management, or Case Management preferred
  • Knowledge of social and physical factors that affect functional status at discharge
  • Knowledge of community resources to meet post-discharge clinical and social needs
What We Offer
  • Competitive compensation and benefits package
  • Opportunities for career growth and professional development
  • Collaborative and dynamic work environment