Inpatient Utilization Management Clinician in Boston, Massachusetts - #72068 | VanderHouwen

Description

Job Id: 72068

Inpatient Utilization Management Clinician
Our client is seeking a detail-oriented and clinically strong Inpatient Utilization Management Clinician who thrives in a fast-paced, collaborative environment. This individual will bring sound clinical judgment, strong communication skills, and the ability to navigate complex cases while ensuring regulatory compliance and high-quality patient outcomes. The ideal candidate is proactive, organized, and comfortable working independently in a remote setting while partnering closely with care teams and physicians.

This role is a hybrid model in Boston, Massachusetts.

Inpatient Utilization Management Clinician Responsibilities

• Conduct concurrent and retrospective reviews of inpatient cases to assess medical necessity using established clinical guidelines and policies.
• Gather and evaluate clinical information from EMRs and other sources to support timely and accurate decision-making.
• Collaborate with physicians, care teams, and medical directors to coordinate care, support discharge planning, and resolve complex cases.
• Document, communicate, and manage utilization review activities, including referrals, authorizations, and compliance with regulatory timelines.
• Identify gaps, delays, or improvement opportunities in care delivery and contribute to process enhancements, audits, and team initiatives.

Inpatient Utilization Management Clinician Qualifications

• Active, unrestricted RN license in state of residence.
• 2+ years of utilization review experience within a managed care or inpatient setting, including use of evidence-based guidelines.
• Strong clinical judgment and critical thinking skills with the ability to evaluate complex cases and determine appropriate levels of care.
• Excellent communication and interpersonal skills with the ability to collaborate across multidisciplinary teams.
• Proficiency in EMR systems, Microsoft Office, and working independently in a hybrid, deadline-driven environment.

Compensation: $38-$46.50/hr. (DOE)

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!
As an eligible contract employee with VanderHouwen, you’ll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

Meet VanderHouwen
What kind of recruiter do you see yourself working with? One who prioritizes your best interest, no matter what? VanderHouwen does, and we’re in it for the long game! Our recruiters focus on YOU, building meaningful, long-term relationships while developing a deep understanding of companies’ staffing needs and workplace cultures. This approach helps us find an ideal job match that aligns with your unique career aspirations and goals.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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