What are the responsibilities and job description for the Utilization Review Specialist position at Medical Center Hospital?
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:
A. Education:
Holds a current Texas license as a Registered Nurse OR a current Texas Licensed Vocational Nurse.
B. 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.
C. 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.