Clinical Nurse Liaison
: Job Details :


Clinical Nurse Liaison

UnitedHealth Group

Job Location : Worcester,MA, USA

Posted on : 2025-08-13T17:24:37Z

Job Description :
Conducts concurrent or retrospective utilization review applying approved utilization criteria for all inpatient admissions and/or observation services. Obtains appropriate authorizations from managed care organizations. Obtains clinical, functional and psychosocial information from the medical record and from the patient directly in a collaborative effort with other health care professionals, patient and/or family Identifies, implements and continually reassesses the discharge plan. Collaborates with health care professionals to facilitate a safe, timely discharge from the inpatient setting which provides a positive outcome for patient. Uses evidence based assessment of most appropriate setting for discharge; engages skilled facility staff in clinical dialogue prior to discharge to a skilled nursing facility; assesses home care needs and arranges for appropriate services to meet those needs Supports readmission reduction activities by ensuring an effective transition of care on discha...Clinical, Nurse, Liaison, Medical Director, Support, Health, Healthcare
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