Clinical Utilization Management Nurse Specialist

2 days ago


Clarksville, Arkansas, United States Albany Medical Center Full time
Job Summary

We are seeking a skilled Clinical Utilization Management Nurse to join our team at Albany Medical Center. As a key member of our care management team, you will play a critical role in ensuring the highest quality patient care while optimizing resource utilization.

Responsibilities
  • Conduct thorough utilization reviews to identify opportunities for improvement in patient care and resource allocation.
  • Collaborate with interdisciplinary teams to develop and implement effective care plans that meet the unique needs of each patient.
  • Apply evidence-based criteria to ensure that patient admissions and continued stays are medically necessary and aligned with organizational goals.
  • Identify and address potential delays in care, working closely with clinical staff to resolve issues and improve patient outcomes.
  • Monitor and analyze data to inform quality improvement initiatives and optimize resource utilization.
Requirements
  • Current RN licensure in New York State.
  • Bachelor's degree in Nursing or related field.
  • Minimum of three years of clinical experience in an acute care setting.
  • Recent experience in case management, utilization management, and/or discharge planning/home care preferred.
  • Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
  • Strong analytical and problem-solving skills, with the ability to interpret complex data and develop effective solutions.
What We Offer

Albany Medical Center offers a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a motivated and compassionate nurse who is passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.



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