Clinical Utilization Specialist

At Sinai Health, we care, create possibilities and offer hope. We are looking for a Clinical Utilization Specialist to support our Decision Support department.

Job Type: TEMPORARY PART TIME (up to 12 months)

Job Outline

The Clinical Utilization Specialist is a part of the Utilization Management team. This position provides expertise in capacity/bed management, understanding and supporting the clinical implications of admitting, discharge and transfers and ensures the efficient and effective completion of tools required to manage patient complexity, resource requirements and clinical outcomes. This position will work with Patient Care Managers, Directors and other clinical leadership staff to provide advice, support, guidance and direction with respect to issues of clinical utilization, patient complexity and workload. It is also responsible for identifying, communicating and implementing processes to address issues of clinical utilization, patient complexity and workload.

Education & Qualifications

• Baccalaureate degree required, preferably in Nursing or Health Information
• Advanced knowledge base of MDS and RUGIII Patient Classification Systems, NRS, NACRS, WTIS and working knowledge of workload measurement
• Knowledge of MIS/OHRS guidelines
• Knowledge of hospital processes and their interrelationships
• Superior oral and written communication skills
• Advanced level proficiency in Microsoft Office applications, including database software applications
• Demonstrated knowledge of continuous quality improvement process cycle including benchmarking and analyzing industry standards
• Demonstrated understanding of product improvement and /or service quality and customer satisfaction, reducing defects and errors, organizational effectiveness and on-time delivery
• Demonstrated ability to perform data collection, integration, analysis and reporting on organization-wide projects assigned
• Demonstrated understanding and supporting the clinical implications of admitting, discharge and transfers
• Demonstrated teaching/facilitation skills
• Demonstrated analytical and project management skills
• Quality orientation
• 5–7 years recent clinical experience; expertise in capacity/bed management preferred
• Strong ability to manage multiple projects, resources and initiatives in a deadline driven environment.
• Excellent analytical and problem solving skills.
• Strong ability to demonstrate professionalism, integrity, diplomacy and tact.

Employment at Sinai Health is conditional upon the verification of credentials, completion of a health review, and demonstrating proof of immunity and vaccination status of vaccine-preventable diseases. All employees and affiliates will follow safe work practices and comply with health and safety policies, procedures and training. If you believe you are one of the very few people who may require an exemption from vaccination, supporting medical information must be submitted to our Occupational Health department, who will review and assess.

Sinai Health is comprised of Mount Sinai Hospital, Hennick Bridgepoint Hospital, Lunenfeld-Tanenbaum Research Institute and our system partner Circle of Care. We deliver excellent care in hospital, community and home, focusing on the comprehensive needs of people. Sinai Health discovers and translates scientific breakthroughs, pushes boundaries for health solutions and educates future clinical and scientific leaders. Clinical areas of specialization include rehabilitation and complex continuing care, surgery and oncology, urgent and critical care, and women’s and infants’ health. The Lunenfeld-Tanenbaum Research Institute ranks among the top ten biomedical research institutes in the world. Sinai Health is a full affiliate of the University of Toronto.

As an equal opportunity employer who understands that diversity enriches our community and culture, we invite applications from all qualified candidates including Indigenous Peoples, racialized people, disabled people/people with disabilities, women, and members of 2SLGBTQIA+ communities. If you require accommodation(s) due to disability at any point during the application and hiring process, please contact 416-586-4800 ext. 7050, or email [email protected].