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Clinical Utilization Manager

4 weeks ago

Newark, Delaware, United States ChristianaCare Full time
Job Title: Clinical Utilization Manager

Christiana Care is seeking a highly skilled Clinical Utilization Manager to join our team. As a key member of our Utilization Management team, you will play a critical role in ensuring the delivery of efficient and effective healthcare services.

Key Responsibilities:
  • Collaborate with healthcare providers to review medical necessity and develop discharge plans
  • Ensure compliance with regulatory requirements and industry standards
  • Develop and implement strategies to improve patient outcomes and reduce healthcare costs
  • Work closely with the Utilization Management team to identify and address system issues
  • Provide education and support to nursing and ancillary staff on utilization review processes
Requirements:
  • Bachelor's degree in nursing
  • Minimum of 3 years recent experience as a Registered Nurse in acute care, adult care setting
  • Clinical documentation, performance improvement, case management, or utilization management experience desirable
  • Ability to ambulate within the hospital setting and utilize computer equipment/programs
About Us:

Christiana Care is one of the country's most dynamic healthcare organizations, centered on improving health outcomes, making high-quality care more accessible, and lowering healthcare costs. We offer a comprehensive benefits package, including medical, dental, vision, life insurance, tuition assistance, and more.

We are committed to providing a work environment that supports the well-being of our employees and their families. Our benefits package includes generous paid time off, 12-week paid parental leave, and access to backup care services for dependents.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.