Clinical Utilization Nurse Specialist

1 week ago


Clifton Park, New York, United States Albany Medical Center Full time
Job Summary

We are seeking a skilled Clinical Utilization Nurse to join our team at Albany Medical Center. As a key member of our Care Management department, you will play a critical role in ensuring the quality and appropriateness of patient care.

Key Responsibilities
  • Review and manage patient utilization and quality of care to ensure alignment with established criteria and regulatory requirements.
  • Collaborate with the healthcare team to identify areas for clinical documentation improvement and implement strategies to enhance patient care management.
  • Monitor resource use and identify at-risk populations to facilitate timely interventions and optimize care delivery.
  • Develop and maintain knowledge of utilization review processes, regulatory requirements, and best practices in patient care management.
Requirements
  • Current New York State nursing license.
  • Proven clinical experience in utilization review and patient care management.
  • Strong analytical and communication skills, with the ability to work effectively in a fast-paced environment.
What We Offer

As a Clinical Utilization Nurse at Albany Medical Center, you will have the opportunity to work with a talented team of healthcare professionals, develop your skills and expertise, and make a meaningful contribution to the delivery of high-quality patient care.



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