Utilization Review Specialist
Memorial Hermann Health System(19 days ago)
About this role
A Utilization Review Registered Nurse at Memorial Hermann performs clinical appropriateness review for inpatient and observation patients within assigned admission areas. The role is part of the Utilization Management team, reporting to the Manager of Utilization Review, and supports the hospital’s mission of delivering high-quality, efficient care to the community.
Required Skills
- Utilization Review
- Discharge Planning
- Clinical Assessment
- Care Coordination
- Documentation
- Medical Necessity
- DRG
- Communication
- Conflict Resolution
- Precepting
Qualifications
- Graduate Nursing Degree
- BSN Preferred
- Registered Nurse License (Texas)
About Memorial Hermann Health System
memorialhermann.orgMemorial Hermann is advancing health and personalizing care with hospitals, specialty programs and services located throughout the Greater Houston area.
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