Utilization Management Nurse career at Corizon in Brentwood

Corizon is at the momment seeking for Utilization Management Nurse on Sun, 10 Mar 2013 08:47:58 GMT. The UM nurse is responsible for the implementation of a comprehensive outpatient/inpatient review process utilizing criteria based review standards and standards of best practice. Assist in the control of utilization of resources, pre-occurrence monitoring, concurrent monitoring, intervention and retrospective review. Track, trend and evaluate appropriateness and quality of care issues with the...

Utilization Management Nurse

Location: Brentwood Tennessee

Description: Corizon is at the momment seeking for Utilization Management Nurse right now, this career will be placed in Tennessee. Detailed specification about this career opportunity please give attention to these descriptions. The UM nurse is responsible for the implementation of a comprehensive outpatient/inpatient review process utilizing criteria based review standards and standards of best pra! ctice. Assist in the control of utilization of resources, pre-occurrence monitoring, concurrent monitoring, intervention and retrospective review. Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and external customers and process improvement initiatives.

• Responsible for the implementation of a comprehensive outpatient/inpatient review process utilizing criteria based review

standards and standards of best practice.

• Facilitate quality health care intervention recommendations.
• Review and assess over/under utilization issues.
• Track, trend and evaluate appropriateness and quality of care issues with the implementation of education to internal and

external customers and process improvement initiatives.

• Respond to inquiries by provider/site employees relating to standards of care and best practices.
• Develop and maintain pre-! established review parameters under the direction of the Coriz! on Medical Director.
• Identify and document comparisons with community standards, regionally based as indicated.
• Communicate and guide staff and physicians regarding utilization management program development, implementation,

evaluation and reporting.

• Work with other UM inpatient and outpatient nurse reviewers to assure proper treatment in the appropriate setting at

the appropriate time.

• Communicate and document any issues relating to the outpatient/inpatient UM process to the Manager of Utilization Management.
• Assist with the data collection and reporting related to the UM outpatient/inpatient process.
• Participate in CEU offerings/seminars to enhance professional growth and development and the maintenance of nursing license.
• Recommend improvements to process and outcomes using data analysis tools, logical rules/relations and data elements.
• Assist in completion of special pr! ojects on an as needed basis.

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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Corizon.

If you interested on this career just click on the Apply button, you will be redirected to the official website

This career starts available on: Sun, 10 Mar 2013 08:47:58 GMT

Apply Utilization Management Nurse Here