Utilization Review Case Manager

2 weeks ago


Fresno, California, United States Saint Agnes Medical Center Careers Full time
Employment Opportunity

We are seeking a highly skilled Utilization Review Case Manager to join our team at Saint Agnes Medical Center Careers.

Job Summary

The successful candidate will be responsible for coordinating utilization review services for defined patient populations across the acute care continuum. This includes discharge planning, utilization management, care coordination, and support for resource utilization.

Key Responsibilities
  • Collaborate with an interdisciplinary team to improve patient care through effective utilization of resources
  • Develop and implement discharge plans to ensure seamless transitions of care
  • Conduct utilization reviews to identify opportunities for cost savings and quality improvement
  • Provide education and support to patients and families on healthcare resources and services
  • Stay up-to-date on hospital protocols, clinical standards, and regulatory requirements
Requirements
  • Bachelor's degree in Nursing or related field
  • Previous experience in clinical specialty in an acute care setting
  • Excellent communication, critical thinking, and problem-solving skills
  • Knowledge of hospital protocols, clinical standards, and regulatory requirements
Preferred Qualifications
  • American Heart Association (AHA) Healthcare Provider CPR certification
  • Interquel training within six months of hire
  • Familiarity with community resources and outside professional agencies

We are an equal opportunity employer and welcome applications from diverse candidates. Our commitment to diversity and inclusion is reflected in our Mission and Core Values.



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