UR Mgmt Educator-Auditor
TypeFull-time job
LocationUnited States
Posted3 hours ago
Responsibilities
This position is responsible to provide Utilization Management expertise and program development/operational support to the UM team and audit for compliance with CMS guidelines. This position is critical to staff growth and development and maintaining staff at the cutting edge of utilization review practice while complying with regulatory guidelines. The Utilization Management Educator & Quality Auditor will assess, plan, implement and improve methods and processes of education and training for meeting employee learning needs for enhancing job performance, competency, and overall program performance. The Utilization Management Educator & Quality Auditor will also act as the internal UM performance improvement coach and provide process evaluation and recommendations for process improvement.Qualifications
EducationBachelor’s Degree in Nursing or a related field Required
Work Experience
3 years of experience in a broad range of clinical settings, utilization management, or case management. InterQual and MCG experience Required
Epic experience Preferred
InterQual Certified Instructor (IQCI) Preferred
Licenses and CertificationsRN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Business Unit : Company Name
Piedmont Healthcare CorporateOriginally posted on Himalayas
This position is responsible to provide Utilization Management expertise and program development/operational support to the UM team and audit for compliance with CMS guidelines. This position is critical to staff growth and development and maintaining staff at the cutting edge of utilization review practice while complying with regulatory guidelines. The Utilization Management Educator & Quality Auditor will assess, plan, implement and improve methods and processes of education and training for meeting employee learning needs for enhancing job performance, competency, and overall program performance. The Utilization Management Educator & Quality Auditor will also act as the internal UM performance improvement coach and provide process evaluation and recommendations for process improvement.Qualifications
EducationBachelor’s Degree in Nursing or a related field Required
Work Experience
3 years of experience in a broad range of clinical settings, utilization management, or case management. InterQual and MCG experience Required
Epic experience Preferred
InterQual Certified Instructor (IQCI) Preferred
Licenses and CertificationsRN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Business Unit : Company Name
Piedmont Healthcare CorporateOriginally posted on Himalayas
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