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Clinical UR Specialist at Kaweah Health - ApplyBlast

Clinical UR Specialist

Kaweah Health

4 months ago

3.1 on Glassdoor

Visalia, California

Onsite

Full Time

Junior

0 applicants

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About this role

The Clinical UR Specialist collaborates with nursing staff to gather clinical data, monitor care quality, and ensure patient safety. Key duties include performing utilization reviews, managing discharge planning, and facilitating patient transitions to long-term care facilities. The role involves reviewing medical records for appropriateness and communicating with multidisciplinary teams to improve patient outcomes.

Responsibilities

Gather clinical data to monitor quality and effectiveness of patient care
Perform utilization reviews to determine medical necessity for inpatient stays
Facilitate discharge planning and arrange referrals for long-term care facilities
Review medical records using InterQual Severity of Illness criteria
Collaborate with interdisciplinary teams to improve patient outcomes

Skills

Qualifications

CA LVN License

About Kaweah Health

kaweahhealth.org

Headquarters

Visalia, California, United States

Company Size

5001-10000 employees

Founded

1963

View Profile

Kaweah Health is a regional health system serving Tulare County, California, providing hospital care, outpatient clinics, and a broad range of services including emergency care, cancer care, cardiovascular services, orthopedics, imaging, obstetrics, and home health. The system operates 52 locations across the region and offers programs across acute, outpatient, and community health services.