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 clinical nursing experience in 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.

Unusual Physical Demands And Working Conditions

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