Utilization Review Nurse Supervisor II Position
4 weeks ago
Job Summary:
The County of Los Angeles is seeking a highly skilled and experienced Utilization Review Nurse Supervisor II to join our team. As a key member of our healthcare team, you will be responsible for directing and supervising the activities of nursing staff engaged in utilization review activities.
Key Responsibilities:
- Plan, develop, and implement procedures to fulfill the Professional Standards Review organization requirements for an effective and timely utilization review system.
- Direct the utilization review function through subordinate supervisors, conferring with supervisors on personnel, and technical and administrative problems.
- Review and analyze reports prepared by subordinate supervisors on number and status of reviews, physician advisor referrals, and type of physician advisor determinations, to determine if improvement in procedures or additional staff training is needed and to make recommendations on potential areas for medical care evaluation studies.
- Determine need for and conducts in-service training to improve quality of admission and continued stay reviews, and to disseminate information concerning new or revised procedures.
- Evaluate the performance of subordinate supervisors and reviews their evaluations of Utilization Review Nurses; counsels subordinates on their performance.
- Develop procedures for the compilation of information from medical charts concerning diagnoses, problems, procedures, or practitioner categories as directed for medical care evaluation studies.
- Works with Professional Standards Review Organization representative to orient new staff to Federal laws and regulations pertaining to Medicare and Medi-Cal reimbursement.
- Confers with physicians, administrative personnel, and other disciplines in the hospital to coordinate the work of the unit, obtain information, answer questions concerning the necessity for utilization review, and develop review procedures.
- Attends Utilization Review Committee meetings to inform the Committee of new or revised utilization review requirements, the impact of the requirements, and procedures to be implemented for compliance.
Requirements:
- One (1) year experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities.
- Current certification issued by the American Heart Association's Basic Life Support (BLS) for Healthcare Providers (CPR & AED) Programs.
- A current license to practice as a Registered Nurse issued by the California Board of Registered Nursing.
Desirable Qualifications:
- Experience within the last five (5) years in the supervision* of nursing staff engaged in utilization review activities beyond the selection requirements.
- Bachelor of Science degree in Nursing (BSN) or higher from an accredited institution.
Working Conditions:
The position allocated to this class is responsible for directing, through subordinate supervisors, the activities of the Utilization Review Nurses engaged in utilization review activities, in accordance with the Professional Standards Review Organization guidelines and the Joint Commission on Accreditation of Hospitals' utilization review standard.
Salary and Benefits:
The salary range for this position is $118, $176,872.80 Annually. The County of Los Angeles offers a comprehensive benefits package, including medical, dental, and vision insurance, retirement plan, and paid time off.
How to Apply:
To apply for this position, please submit your application online through our website. Please ensure that your application is complete and accurate, as incomplete or inaccurate applications may not be considered.
Equal Employment Opportunity:
The County of Los Angeles is an equal employment opportunity employer and welcomes applications from diverse candidates. We are committed to creating a workplace that is inclusive and respectful of all employees.
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