Clinical Nurse Specialist

4 weeks ago


Tucson, Arizona, United States Carondelet St. Josephs Hospital Full time

About the Role

As a Clinical Nurse Specialist - Utilization Management at Carondelet St. Josephs Hospital, you will play a critical role in ensuring that patients receive the most appropriate level of care. This involves reviewing medical necessity and denial prevention, transitioning patients to appropriate levels of care, and coordinating with multidisciplinary teams to achieve optimal outcomes.

To be successful in this role, you will need 2 years of acute hospital patient care experience and current licensure as an RN in the state of practice. Accredited Case Manager (ACM) certification is also highly desirable.

Responsibilities

  • Review medical necessity and deny or modify treatment plans as necessary
  • Transition patients to appropriate levels of care based on medical necessity
  • Coordinate with multidisciplinary teams to ensure seamless care delivery
  • Maintain accurate records of patient data and transitions

Salary Range:$94,400 - $138,300 per year

We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a compassionate and results-driven RN with a passion for improving patient outcomes, we invite you to apply.



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