Clinical Resource Utilization Specialist

1 week ago


Tyler, Texas, United States Christus Health Full time

Job Summary:

The Clinical Resource Utilization Specialist is responsible for ensuring the appropriate use of healthcare resources while maintaining high-quality patient care. This role requires a strong understanding of clinical guidelines, regulatory requirements, and healthcare policies.

Key Responsibilities:

  • Conduct thorough reviews of patient information to determine medical necessity and appropriateness of care.
  • Utilize clinical judgment and expertise to make informed decisions regarding resource utilization.
  • Collaborate with healthcare teams to ensure seamless coordination of care and optimal resource allocation.
  • Stay up-to-date with the latest clinical guidelines, regulatory changes, and healthcare policies to ensure compliance and best practices.
  • Communicate effectively with patients, families, and healthcare professionals to ensure understanding and cooperation.
  • Participate in quality improvement initiatives to enhance patient outcomes and resource utilization.

Requirements:

  • Graduate of an accredited School of Nursing.
  • Two or more years of clinical experience with at least one year in the acute care setting.
  • RN License in state of employment or compact required.
  • Certification in Case Management preferred.

Work Schedule:

8AM - 5PM Monday-Friday

Work Type:

Full Time



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