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Clinical Utilization Manager

1 month ago

Everett, Washington, United States Providence St. Joseph Health Full time
Job Summary

As a Clinical Utilization Manager at Providence Regional Medical Center Everett, you will play a critical role in overseeing the utilization management and review of patient care delivery while in the hospital. Your expertise will be essential in providing clinical reviews and denial appeals where appropriate, either during admission or post-discharge.

About the Role

This is a unique opportunity to join a team of dedicated professionals who are passionate about delivering exceptional patient care. As a Clinical Utilization Manager, you will be responsible for ensuring that patients receive the most appropriate and effective care possible. You will work closely with our interdisciplinary team to develop and implement care plans that meet the individual needs of each patient.

Responsibilities

* Oversee utilization management and review of patient care delivery while in the hospital
* Provide clinical reviews and denial appeals where appropriate, either during admission or post-discharge
* Collaborate with the interdisciplinary team to develop and implement care plans that meet the individual needs of each patient
* Ensure that patients receive the most appropriate and effective care possible

Requirements

* Bachelor's Degree in Nursing (BSN)
* Must obtain a Bachelor's degree in Nursing or higher within (5) years of hire
* Washington Registered Nurse License
* Experience as an RN in an acute care setting within the last 5 years, OR recent Utilization Management experience

Why Join Us

At Providence, we are committed to providing a work environment that is supportive, inclusive, and respectful. We offer a comprehensive benefits package, including medical, dental, and vision insurance, as well as a 401(k) plan and paid time off. We also offer a range of professional development opportunities to help you grow and advance in your career.

About Providence

Providence is a not-for-profit health care organization that has been serving the Pacific Northwest for over 160 years. We are committed to providing high-quality, patient-centered care to our communities, and we are proud to be a leader in the region's health care industry.

How to Apply

If you are a motivated and compassionate individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and a cover letter, to our online portal. We look forward to hearing from you