What are the responsibilities and job description for the Clinical Utilization Specialist position at NeuroPsychiatric Hospitals?
Company Overview
Our Values
Job Responsibilities
Requirements
Founded fifteen years ago, NeuroPsychiatric Hospital is the largest healthcare provider in the nation offering comprehensive care to patients with complex needs. Our hospitals serve a population that others have previously been unable to reach due to underlying medical issues. By maintaining an inter-disciplinary focus and utilizing a multi-specialty approach, we deliver unparalleled quality care for all our patients.
Our Values
At NeuroPsychiatric Hospitals, we value professionalism, compassion, and innovation. We strive to create a work environment that fosters collaboration, creativity, and continuous improvement.
Job Responsibilities
As a Utilization Review Nurse, your primary responsibility will be to ensure effective utilization of health resources while promoting seamless coordination of patient care. You will work closely with multidisciplinary teams to achieve this goal. Additionally, you will provide education to nursing staff, leadership team, and providers regarding documentation and actively collaborate with the business office to resolve appeals/denials and retrospective reviews.
Requirements
- Graduation from an accredited school of nursing.
- Registered Nurse (RN) or Licensed Practical Nurse (LPN) licensure in the state of Indiana required.
- Strong knowledge of medications and excellent communication skills.
