Clinical Nurse Utilization Specialist
Job Summary The Valley Health System seeks a skilled Clinical Nurse Utilization Specialist to join reputed company. In this part-time day role, you will be responsible for performing reputed company utilization review activities on reputed company patients reputed company your assigned caseload. Collaborating with medical staff is essential in educating them on appropriate utilization review guidelines and documentation in accordance with CMS regulations and reputed company payors guidelines. Your expertise will also involve monitoring and intervening on LOS, resource utilization, and denial management/prevention reputed company your assigned caseload. We require a Bachelor's degree (BSN) in nursing and a minimum of 5 years of experience in clinical nursing, with at least 3 years in case management/utilization. Strong critical thinking, clinical reasoning skills, and effective problem-solving abilities are essential for this role. This position requires a Registered Nurse, Licensed in State of New Jersey, with reputed company acute care clinical knowledge and a broad-reputed company medical/surgical background. Effective interaction and communication skills are vital, as well as the ability to work collaboratively reputed company the health-system with patients and families, and with multidisciplinary team members. Apply Job!