Registered Nurse - Quality & Utilization Review Coordinator - SUNYWNYRN Job at NavitsPartners, Darien, IL

WjRtUE5hKzJCWVNacldYam5Qdk5tdkVPaHc9PQ==
  • NavitsPartners
  • Darien, IL

Job Description

Registered Nurse – Quality & Utilization Review Coordinator

Qualifications:

  • RN license with experience in quality assurance or utilization review.
  • Minimum of 3 years in a hospital or managed care setting.
  • Knowledge of regulatory standards, including CMS and Joint Commission guidelines.
  • Strong written and verbal communication skills.
  • Proficiency in data analysis and performance improvement strategies.

Duties:

  • Assess healthcare services for efficiency, effectiveness, and compliance.
  • Conduct retrospective and concurrent medical necessity reviews.
  • Develop and implement quality improvement initiatives.
  • Analyze trends in utilization and make recommendations for policy adjustments.
  • Work closely with case managers and providers to optimize patient outcomes.
  • Ensure adherence to accreditation and regulatory requirements.

Pay:

  • Medium weekly pay range: $2,100 - $2,600

Job Tags

Weekly pay,

Similar Jobs

Schowalter Villa

Grounds Maintenance Team Leader Job at Schowalter Villa

 ...Schowalter Villa is looking for a full-time Grounds Maintenance Team Leader to join our team! The typical hours for this position are Monday through Friday, 7:30am - 4:00pm. Position Overview: The Grounds Maintenance Team Leader will be responsible for coordinating... 

Drake Cooper

Integrated Producer Job at Drake Cooper

 ...Drake Cooper is on the lookout for a bold, forward-looking Integrated Producer to join our team. What Youll Do: As an Integrated Producer, youll wear both agency and line producer hatsoverseeing projects from concept to final delivery. Youll work hand-in-hand... 

Seva Hospitality

Marriott Hotel General Manager Job at Seva Hospitality

 ...company. Job Description At SpringHill Suites by Marriott , were committed to making travel an elevated experience. We...  ..., Vision, and a rewarding bonus structure. Upon opening the hotel, as a General Manager you will: Oversee all aspects of operations... 

City of Lake Charles

Recreation Summer Worker Job at City of Lake Charles

 ...Job Title: Recreation Summer Worker We are seeking Recreation Summer Workers to join our team for the upcoming summer season. This role provides a fantastic opportunity to engage with community members, lead recreational camp activities, and gain valuable experience... 

Foundever

Customer Service Associate - Healthcare (Orem, Utah, US) Job at Foundever

 ...Customer Service Associate - Healthcare (Orem, Utah, US) A fantastic opportunity Join our dynamic team at Foundever, where every interaction is an opportunity to make a difference. Job Overview As a Customer Service Representative, you'll support a well-known...