Utilization Review Manager - (US-AZ-Northwest )

Minimum Education: Associate
Job Type: Full Time
Jobcode: util review mgr az
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EXPERIENCE REQUIRED: At least 3 years leadership experience in HOSPITAL setting QRM. Applicant must be someone with a RN license.

OVERVIEW:Is responsible for ensuring that the facility is in compliance with JCAHO, state and federal standards. Has oversight responsibility for all regulatory body surveys, i.e., JCAHO, State Licensing Review, CMS Validation surveys,including staying current with JCAHO standards, educating facility staff about JCAHO standards, preparing the facility for JCAHO accreditation surveys. Responsible for planning and implementing the performance improvement program Performs clinical risk management functions. Coordinates risk programs with all hospital departments, and administration. Reports real and potential risk situations to the Governing Body, medical staff, administration, hospital departments and committees, as appropriate. Responsible for establishing and monitoring methods to avoid, eliminate and/or reduce risk situations associated with the provision of patient care and services.