RN Nurse Manager Utilization Review
Posted Updated
This position will manage activities and staff of the Utilization Review and Clinical Documentation Improvement departments.
Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clinical care, levels of care, and financial issues. Analyze and report data related to case management activities, payer activities, resource utilization, and clinical denials. Lead hospital wide initiatives on behalf of the department.
Monitor the performance, collection and analysis of data to report on the effectiveness of process improvement to the organization and department. Participate in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educate members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.
Supervise and evaluate the daily work of these teams in accordance with departmental and organizational policies. Provide education within the departments and the organization at large on clinical care, levels of care, and financial issues. Analyze and report data related to case management activities, payer activities, resource utilization, and clinical denials. Lead hospital wide initiatives on behalf of the department.
Monitor the performance, collection and analysis of data to report on the effectiveness of process improvement to the organization and department. Participate in the planning, development and implementation, and ongoing success of the Clinical Documentation Management Program. Educate members of the patient care team regarding documentation guidelines, including attending physicians, nursing, and other interdisciplinary team members.