Clinical Nurse Specialist

2 weeks ago


Hattiesburg, Mississippi, United States Forrest General Hospital Full time
Job Title: Clinical Nurse Specialist

Forrest General Hospital is seeking a skilled Clinical Nurse Specialist to join our team. As a key member of our healthcare team, you will be responsible for performing concurrent and retrospective reviews of patient cases to ensure medical necessity and adherence to regulatory guidelines.

Key Responsibilities:
  • Conduct thorough reviews of patient cases to determine medical necessity and appropriateness of care
  • Collaborate with physicians and other healthcare professionals to ensure accurate and timely reviews
  • Develop and implement strategies to improve patient outcomes and reduce healthcare costs
  • Stay up-to-date with regulatory guidelines and industry developments to ensure compliance
  • Communicate effectively with patients, families, and healthcare teams to ensure seamless care coordination
Requirements:
  • Graduate of an accredited licensed practical nursing program
  • Minimum 5 years of experience in clinical nursing, with at least 1 year in utilization review
  • Strong knowledge of medical terminology, coding procedures, and regulatory guidelines
  • Excellent communication and interpersonal skills
  • Ability to work in a fast-paced environment and prioritize multiple tasks
What We Offer:
  • A dynamic and supportive work environment
  • Competitive salary and benefits package
  • Opportunities for professional growth and development
  • A commitment to excellence and patient-centered care


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