Clinical Resource Utilization Expert

4 weeks ago


Paterson, New Jersey, United States St. Joseph's Healthcare System Full time
Clinical Resource Utilization Expert Wanted

We are seeking a skilled Clinical Resource Utilization Expert to join our team at St. Joseph's Healthcare System in Paterson, New Jersey. This is a regular full-time position offering a competitive salary range of $**92,000 - $112,000 per annum**.

About the Role

The successful candidate will be responsible for reviewing medical records to ensure appropriateness of admissions, continued stay, and level of care changes. They will work closely with physicians, nursing staff, and other hospital personnel to optimize reimbursement to the hospital.

Key Responsibilities
  • Analyze data to identify opportunities for cost savings and develop plans to address these opportunities.
  • Collaborate with healthcare professionals to develop and implement strategies to reduce unnecessary hospitalizations and improve patient outcomes.
Qualifications

The ideal candidate will possess a Bachelor's degree in Nursing or a closely related field and two to three years of work-related experience in managed care, home care, discharge planning, or case management. Case Management Society of America Certification CCM is preferred. Licensure as a Registered Nurse by the State of New Jersey is required.



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