Specialist , Utilization Review
Job Summary: Reviews and screens the appropriateness of services, the utilization of hospital resources and the quality of patient care rendered.
Minimum Qualifications: Licensed in the State of Michigan as a Registered Nurse. Three (3) years of clinical experience.
Knowledge, Skills & Abilities: Bachelor’s degree preferred. Previous utilization management or case management experience preferred. Demonstrated competence with basic Microsoft Office tools. Knowledge of outside regulatory agencies inter-face with the institution. The ability to communicate with individuals from various backgrounds regarding a variety of hospital-wide practices. Strong critical thinking skills necessary to assess documentation of care provided in EMR. Excellent prioritization and organizational skills emphasized.
Working Conditions/Physical Requirements: Work is generally sedentary in nature, but may require standing and walking for up to 10% of the time. Work is generally performed within an office environment, with standard office equipment available.