Strategic Utilization Review Specialist

Cabell Huntington Hospital; Huntington (WV); On-site; USD 65,000 - 95,000; Full time

Job summary

The Utilization Review Specialist (URS) at Cabell Huntington Hospital exercises independent judgment in case management to ensure appropriate level of care using clinical guidelines such as InterQual. The URS collaborates with physicians to monitor continuing stay and to protect patients from unnecessary risk and cost.

The position requires a Bachelor’s degree with clinical background, WV RN license, and Case Management certification within 2 years of hire, with 5+ years of hospital patient care

Qualifications

• Bachelor's degree with a clinical background is required.
• West Virginia RN license is required.
• Certification in Case Management within 2 years post hire is required.
• Minimum 5+ years of hospital patient care experience and care management knowledge.

Skills

Verbal communication

Written communication

Collaboration

Critical thinking

Discharge planning

Resource management

Education

Bachelor's degree with a clinical background

WV RN License

Certification - Case Management within 2 year post hire

Job description

The Utilization Review Specialist (URS) at Cabell Huntington Hospital exercises independent judgment in case management to ensure appropriate level of care using clinical guidelines such as InterQual. The URS collaborates with physicians to monitor continuing stay and to protect patients from unnecessary risk and cost.

The position requires a Bachelor’s degree with clinical background, WV RN license, and Case Management certification within 2 years of hire, with 5+ years of hospital patient care