Clinical Resource Utilization Specialist

1 week ago


Tyler, Texas, United States Christus Health Full time
Clinical Resource Utilization Specialist

At Christus Health, we are dedicated to delivering high-quality patient care and exceptional service. As a Clinical Resource Utilization Specialist, you will play a vital role in ensuring that our patients receive the best possible care while minimizing costs.

About the Role

We are seeking an experienced Clinical Resource Utilization Specialist to join our team. In this role, you will be responsible for reviewing medical records to determine the clinical appropriateness of care provided to patients. You will work closely with our interdisciplinary team to ensure that our patients receive the most effective and efficient treatment options available. Your expertise will help us identify areas where we can improve our resource utilization and reduce unnecessary healthcare costs.

Key Responsibilities

- Review medical records to determine the clinical appropriateness of care provided to patients
- Collaborate with the interdisciplinary team to develop individualized care plans that minimize waste and optimize resource utilization
- Analyze data to identify trends and areas for improvement in resource utilization
- Develop and implement strategies to reduce unnecessary healthcare costs
- Communicate effectively with patients, families, and healthcare teams to ensure seamless transitions and optimal outcomes

Requirements

- 2+ years of experience in a clinical setting with a focus on resource utilization or case management
- RN license in the state of employment or compact required
- Certification in Case Management (CM) preferred
- Strong analytical and problem-solving skills with the ability to interpret complex data
- Excellent communication and interpersonal skills with the ability to collaborate effectively with diverse stakeholders

Benefits

- Competitive salary range: $65,000 - $80,000 per year
- Comprehensive benefits package including health, dental, and vision insurance
- Generous paid time off and holidays
- Opportunities for professional growth and development

Additional Information

Christus Health is an equal opportunity employer committed to diversity and inclusion. We strive to create a workplace culture that reflects the communities we serve and values the unique perspectives and experiences of all employees. If you are passionate about delivering exceptional patient care and improving healthcare outcomes, we encourage you to apply.

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