Clinical Product Consultant – Utilization Management

Job Description: • 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: • 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: • 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 Apply tot his job Apply To this Job