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Clinical Product Consultant – Utilization Management
CisionClinical Product Consultant within Customer Success, ensuring clinical insights drive product development and end-user adoption. Collaborating with teams for efficient Utilization Management.
About the role
Key responsibilities & impact- Collaborate with the product and services teams to execute our strategic plan for AwareUM.
- Audit for product accuracy and effectiveness, communicating with product for change as identified
- Assess effectiveness of AwareUM technology in creating efficient workflow for UM nurses
- Deliver on go-forward product milestones balancing client requests with investment in new capabilities that deliver on the vision for the product
- Collaborate with the UM growth team and support a smooth sales delivery process that results in achievement of targeted growth expectations
- Collaborate with the CX team to create a seamless, integrated, and consistent user experience
- Actively manage the client experience to deliver on implementation milestones, manage client support requests and expectations and monitor client successful use of the product
Requirements
What you’ll need- Bachelor of Science in Nursing (BSN) or equivalent (with RN licensure)
- 8+ years of clinical experience in acute care setting
- 2+ years of experience in utilization management
- Knowledge and understanding of Utilization Management, Quality Management, Care Management, and/or Chronic Condition Management within hospital systems, post-acute providers, and/or payers.
- Demonstrates an understanding of evolving reimbursement models, including commercial payers, Medicaid, and Medicare.
- Demonstrates an understanding of CMS and payer regulations as it pertains to patient status and care management
- Works effectively on a multidisciplinary team.
- Demonstrates flexible, positive, clear interpersonal and communication skills with ability to facilitate the exchange of information with internal and external clients
- Ability to work remotely, effectively, and efficiently
- Proven history of collaborative, team-focused approach
- Excellent oral and written communication skills
- Ability to travel 20-50% of the time, to domestic locations for client or business meets.
- Preferred Requirements:
- Experience leading a Utilization Management team in an acute care setting
- Active and current Utilization and/or Case Management Certification
- 2-3 years’ experience with MCG and/or InterQual products and services.
- Experience in the software training and education for health-care related products preferred
- Knowledge of core software applications including google, excel, power point
Benefits
Comp & perks- Competitive total rewards (base salary + bonus, if applicable)
- Customizable benefits package (3 medical plans with Health Saving Account company match)
- Generous paid time off for our non-exempt team members, starting with 3 weeks + 13 paid holidays, including 2 personal floating holidays.
- Flexible time off for our exempt team members + 13 paid holidays
- Paid parental leave (including maternity + paternity leave)
- Education assistance opportunities and free LinkedIn Learning access
- Free mental health and family planning programs, including adoption assistance and fertility support
- 401(K) program with company match
- Pet insurance
- Employee resource groups
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Utilization ManagementQuality ManagementCare ManagementChronic Condition ManagementMCG productsInterQual productsClinical experienceReimbursement modelsPatient status regulationsCare management regulations
Soft Skills
Interpersonal skillsCommunication skillsTeam collaborationClient managementFlexibilityPositive attitudeFacilitation skillsProblem-solvingAdaptabilityLeadership
Certifications
Bachelor of Science in Nursing (BSN)Registered Nurse (RN) licensureUtilization Management CertificationCase Management Certification