Supports Carilion's hallmarks of service excellence and quality for all job responsibilities. Utilizing a collaborative process, the Utilization Analyst (UA) will assess, plan, monitor and evaluate all pertinent clinical, psycho-social, and medical information and criteria (Interqual) to assist in determination of the initial and concurrent plan of care for all patients presenting to CMC for intervention. The UA will ensure the utilization of appropriate and timely intervention being the steward of resources for all populations.
Minimum Qualifications Required
Education: Graduate of professional school of nursing required; BSN preferred (graduate of BS program in Nursing)
Experience: Minimum of three (3) years to five (5) years experience in clinical healthcare setting with direct patient care responsibilities reflecting planning, coordination, delivery of needed services such as education, discharge planning and utilization management required. ;
1-3 years in UM/CM preferred.
Licensure, certification, and/or registration: Current licensure in Virginia as Registered Nurse required;
Case Management Certification preferred.
Other Minimum Qualifications: Strong oral and written communication skills as well as effective interpersonal skills. Must be effective at teaching individuals from all socio-economic and cultural backgrounds. Must have ability to work without close supervision and demonstrate effective organizational abilities.
Inspiring Better Health at Carilion Clinic
Every day at Carilion Clinic, our employees come together to inspire better health in our patients, their families and our communities. Explore how you can be a part of this diverse, innovative and interdisciplinary patient-centered team, and find out how you can make a difference in the lives of others.
As an employee, you can take advantage of our competitive pay, various scheduling options, continuing education opportunities and excellent benefits.
Based in Roanoke, Va., Carilion Clinic includes multi-specialty physician practices, seven not-for-profit hospitals and the Virginia Tech Carilion School of Medicine and Research Institute in partnership with Virginia Tech.
Service Excellence and Quality are hallmarks of Carilion Clinic. As a team member, you will be expected to consistently deliver the best in care and customer service. As an employee, you will demonstrate respect, dignity, kindness and empathy in each encounter with our patients, families, visitors and with each other.
Equal Opportunity EmployerMinorities/Females/Protected Veterans/Individuals with Disabilities/Sexual Orientation/Gender Identity.