UR 管理教育者-审计员
UR Mgmt Educator-Auditor
职责
此职位负责为UM团队及合规性审计提供利用管理专业知识和项目开发/运营支持。此职位对员工成长和发展至关重要,同时确保员工在符合监管指南的前提下保持利用审查实践的前沿水平。利用管理教育者及质量审计员将评估、计划、实施并改进教育和培训方法与流程,以满足员工学习需求,提升工作表现、能力及整体项目绩效。利用管理教育者及质量审计员还将担任内部UM绩效改进教练,并提供流程评估及改进建议。
资格要求
教育
· 护理学或相关领域的学士学位,必需
工作经验
· 在广泛的临床环境、利用管理或病例管理领域有3年经验,必需
· InterQual和MCG经验,必需
- Epic经验,优先考虑
- InterQual认证讲师(IQCI),优先考虑
执照和证书
· 注册护士(RN)- 佐治亚州执照和/或NLC/eNCL多州执照,必需
业务单元:公司名称
Piedmont Healthcare Corporate
最初发布于Himalayas
查看英文原文
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
Education· Bachelor’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 Certifications· RN - Registered Nurse - Georgia State Licensure and/or NLC/eNCL Multistate Licensure Required
Business Unit : Company Name
Piedmont Healthcare CorporateOriginally posted on Himalayas