Healthcare Utilization Specialist
7 days ago
Job Title: Healthcare Utilization Specialist
Salary: $85,000 - $115,000 per year
The Health Plan is seeking a skilled and compassionate Registered Nurse to join our team as a Healthcare Utilization Specialist. In this role, you will work closely with healthcare providers and patients to ensure that high-quality care is delivered efficiently and effectively.
Key Responsibilities:
- Reviewing patient cases to determine medical necessity and appropriateness of services
- Developing and implementing personalized care plans to promote positive health outcomes
- Collaborating with healthcare teams to ensure seamless care coordination and communication
- Maintaining accurate records of patient data and progress
- Providing education and support to patients and their families to empower them to take an active role in their care
Requirements:
- Bachelor's degree in nursing (BSN) or higher required
- At least 5 years of experience as a registered nurse in a clinical setting
- Licensure in Ohio and West Virginia required
Benefits:
- Competitive salary range of $85,000 - $115,000 per year
- Ongoing training and education opportunities to enhance clinical skills and knowledge
- A supportive team environment that encourages collaboration and open communication
- A comprehensive benefits package, including health insurance, retirement plan, and paid time off
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