Healthcare Utilization Specialist
6 days ago
At Decypher, we are committed to delivering innovative solutions and services to our clients. As a leading integrator of professional, technology, and management solutions, we strive to provide exceptional results through collaboration and dedication.
Estimated Salary: $85,000 - $110,000 per yearWe are currently seeking a Healthcare Utilization Specialist - Traumatic Brain Injury to join our team. In this role, you will develop and implement comprehensive utilization management plans to optimize healthcare resources.
Responsibilities:- Develop and implement utilization management plans to ensure efficient use of healthcare resources
- Analyze data and metrics to identify trends and areas for improvement
- Monitor specialty care referrals for appropriateness and compliance with regulations
- Review medical care practices to identify patterns and trends
- Act as referral approval authority for designated referrals
- Bachelor's Degree in Nursing (BSN)
- Registered Nurse License
- Minimum of two years of inpatient medical-surgical experience or acute rehabilitation within the last three years
- Certification in Case Management or related field (obtain within 6 months)
- Basic Life Support (BLS) certification
- US Citizen
We offer a dynamic work environment and opportunities for growth and development. If you are passionate about delivering exceptional results and making a difference in the lives of others, we encourage you to apply.
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