Inpatient Clinical Specialist

Job Summary

A company is looking for a Utilization Management - Inpatient to Home Transitions Clinical Specialist.

Key Responsibilities

• Utilize clinical knowledge to research and review inpatient utilization management requests
• Communicate effectively with internal and external stakeholders to facilitate compliance and notifications
• Organize and maintain reference documents and contribute to continuous improvement initiatives

Required Qualifications

• High school diploma or equivalent
• Clinical experience is required, with at least 2 years preferred
• CMA or CNA certification is preferred
• Knowledge of medical terminology, anatomy, and coding
• Experience with healthcare systems, documentation, and EMRs