Utilization Review Specialist

Position Summary

The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital Utilization Review Program and makes appropriate referrals to designated Physician Advisors.

Qualifications

• Education:
  
  

Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.

• Training and Experience:
  
  

Three years of clinical nursing experience in a general medical/surgical setting or appropriate specialty area; at least one year in an acute care setting.

• Job Knowledge:
  
  

Excellent verbal and written skills, well-rounded critical thinking skills, self-motivated, flexible, and goal-oriented. Ability to tolerate frequent interruptions and demanding workload.

VI. Unusual Physical Demands And Working Conditions

Must be able to work long hours on occasion. Potential for some stress in meeting deadlines.