Healthcare Utilization Management Specialist
6 days ago
Job Overview
Christus Health is seeking a skilled Healthcare Utilization Management Specialist to join our team. This individual will be responsible for ensuring the efficient use of healthcare resources while maintaining high-quality patient care.
About the Role
The successful candidate will have at least two years of clinical experience, preferably in an acute care setting. They will work closely with physicians, nursing staff, and other healthcare professionals to assess patient needs and ensure that services are provided in the most cost-effective manner possible.
Responsibilities
- Conduct thorough assessments of patient information to determine medical necessity and level of care.
- Develop and implement effective plans to manage patient care and reduce unnecessary hospitalizations.
- Collaborate with interdisciplinary teams to coordinate patient care and improve outcomes.
- Ensure compliance with regulatory requirements and organizational policies.
- Maintain accurate records and reports on patient status and treatment plans.
Requirements
- RN license in state of employment or compact required.
- Two or more years of clinical experience, preferably in an acute care setting.
- Demonstrated success in utilization management or case management.
- Certification in Case Management preferred.
- BLS preferred.
Salary and Benefits
The estimated salary for this position is $85,000 - $110,000 per year, depending on experience and qualifications. Christus Health offers a comprehensive benefits package, including medical, dental, and vision insurance, retirement savings plan, and paid time off.
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