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Utilization Management Specialist RN
2 months ago
Cleveland Clinic is seeking a highly skilled Utilization Management Specialist RN to join our team of healthcare professionals. As a key member of our Utilization Management team, you will play a critical role in ensuring that our patients receive the most appropriate and cost-effective care.
Key Responsibilities- Conduct thorough medical record reviews to determine the medical necessity of patient admissions and continued stays.
- Utilize clinical judgment and analytical skills to identify opportunities for cost savings and quality improvement.
- Collaborate with healthcare providers and other stakeholders to develop and implement effective utilization management strategies.
- Stay up-to-date with the latest medical guidelines and regulations to ensure compliance and optimal patient outcomes.
- Communicate effectively with patients, families, and healthcare teams to ensure seamless care coordination.
- Graduate of an accredited school of nursing with licensure as a Registered Nurse (RN) in the State of Florida.
- Minimum of three years of experience as a Registered Nurse, preferably in a hospital setting.
- Strong analytical and problem-solving skills, with the ability to work independently and as part of a team.
- Excellent communication and interpersonal skills, with the ability to work effectively with diverse stakeholders.
- Proficiency in Microsoft Office and other relevant software applications.
- A dynamic and supportive work environment with opportunities for professional growth and development.
- A competitive salary and benefits package, including comprehensive health insurance and retirement plans.
- The chance to work with a world-renowned healthcare organization and contribute to the delivery of exceptional patient care.
If you are a motivated and detail-oriented RN with a passion for healthcare utilization management, we encourage you to apply for this exciting opportunity. Please submit your resume and cover letter to [insert contact information].
