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Clinical Product Consultant, Utilization Management

Iodine Software

Austin, TX, US / Onsite/Remote
  • Job Type: Full-Time
  • Function: Professional Svcs
  • Industry: Data & Analytics
  • Post Date: 06/10/2024
  • Website: iodinesoftware.com
  • Company Address: 6850 Austin Center Boulevard, Suite 350, Austin, TX 78731 United States

About Iodine Software

Iodine Software is a healthcare AI company that has pioneered a new machine learning approach — Cognitive Emulation™ — to help healthcare finance leaders build resilient organizations. Founded in 2010, Iodine’s technology unifies clinical concepts, evidence-based medicine, and deep machine learning to power revenue cycle solutions that maximize capture and data accuracy. To date, the Iodine AwareCDI™ Suite has helped nearly 500 hospitals recognize $1.5 billion in additional appropriate reimbursement annually.

Job Description

Join Us. Let’s make a direct impact in healthcare.
Being an Iodine employee means becoming part of something bigger: using clinical AI technology to drive smarter healthcare processes and positively impact patient care.

Who We Are:
Iodine is an enterprise AI company that is championing a radical rethink of how to create value for healthcare professionals, leaders, and their organizations: automating complex clinical tasks, generating insights, and empowering intelligent care. Powered by one of the largest sets of clinical data and use cases available, our groundbreaking clinical machine-learning engine, Cognitive ML, constantly ingests the patient record to generate real-time, highly focused, predictive insights that clinicians and hospital administrators can leverage to dramatically augment the management of care delivery.

What we’re looking for:
The Clinical Product Consultant for Utilization Management is a member of the Customer Success Organization who will provide clinical insight into product development and testing as well have an active role in implementation and delivery of the product, interacting with customer end users and managers. The Consultant will be responsible for ensuring that the complexity of our AI technology is married with the clinical perspective and needs of our clients through data analysis and auditing.  They will also be responsible for end user adoption of best practice workflows.  We are specifically seeking an experienced Utilization Review Nurse who will serve as an integral contributor in the delivery of AwareUM to our clients. 
 
Specifically, you will:
  • 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
What you’ll do:
We are seeking a clinical professional with experience working as a utilization management nurse within hospital systems, payers, and/or delegated entities.  In this role, you MUST be able to work in a fast-paced environment to drive change, create value and deliver excellence.  The ideal candidate will have hands-on clinical or operational experience, particularly in utilization management with an ability to use process change and data to transform healthcare workflows. Experience with hospital systems is required. Candidates must understand project management including change management and deliver results to stakeholders.

What we’d love to see:
  • 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 25-50% of the time, with flexibility, to domestic locations for client or business needs.
Strongly Preferred Requirements:
  • Experience leading a Utilization Management team in an acute care setting
  • Experience working as a UR Nurse in a hospital 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
 

Please note this position is not restricted solely to the responsibilities listed above and that the job scope and responsibilities are subject to change.

  

Why should you join Iodine?
This is a unique opportunity to join a close-knit, rapidly growing team and help us improve a key piece of the organization. You will have the opportunity to drive smarter healthcare processes through technology, so hospitals can stay focused on patient care. You will join a passionate and ambitious team, with a proven record of success building multiple companies. Learn more about our company culture on Built In Austin  and on our website at www.iodinesoftware.com.

 

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