Utilization Management Nurse II
2 months ago
The Utilization Management Nurse II is a critical role at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This position requires a skilled nurse with expertise in clinical decision-making, case management, and healthcare policy.
Key Responsibilities- Conduct comprehensive assessments of patient information and treatment plans to determine medical necessity and level of care.
- Apply clinical judgment and expertise to make informed decisions regarding patient care and resource utilization.
- Collaborate with interdisciplinary teams to ensure seamless patient care and optimize resource allocation.
- Develop and maintain knowledge of regulatory requirements, healthcare policies, and clinical guidelines to ensure compliance and best practices.
- Communicate effectively with patients, families, and healthcare professionals to ensure informed decision-making and optimal patient outcomes.
- Participate in quality improvement initiatives to enhance patient care and reduce healthcare costs.
- Graduate of an accredited School of Nursing or demonstrated success in a Utilization Management Nurse I role.
- Two or more years of clinical experience, with at least one year in an acute care setting.
- RN License in the state of employment or compact required.
- Certification in Case Management preferred.
8AM - 5PM, Monday - Friday
Work TypeFull Time
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Utilization Management Nurse II
2 months ago
Tyler, Texas, United States Christus Health Full timeJob SummaryThe Utilization Management Nurse II is a key member of the healthcare team at Christus Health, responsible for ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This role requires a strong clinical background, excellent communication skills, and the ability to work effectively in a...
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Utilization Management Nurse II
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Tyler, Texas, United States Christus Health Full timeJob Summary:The Utilization Management Nurse II plays a critical role in ensuring the clinical appropriateness of care provided to patients and optimizing hospital resource utilization. This position requires a skilled nurse to perform a variety of pre-admission, concurrent, and retrospective UM-related reviews and functions. The ideal candidate will possess...
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Utilization Management Nurse II
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