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    This position will support the Federal Government's response efforts to COVID-19. This position is located at the Chinle Service Unit, Division of Quality Management, Chinle, AZ. The purpose of this position is to serve as a Utilization Management Nurse/Compliance Officer. Incumbent ensures through reviews and audits, patients receive care without burdening the health care system with unnecessary procedures.

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    • Position requires knowledge and skills in applying, the principles, concepts, practices, and procedures of specialized nursing care to patients of Utilization Review.
    • Assesses, plans, monitors and evaluates patient care through utilization review activities.
    • Reviews and analyses inpatient and outpatient medical records based on advanced nursing knowledge to identify deviations from screening criteria.
    • Monitors timelines of use and response by ancillary services.
    • Identifies possible admission clinical discrepancies and discusses clinical findings with the attending physician.
    • Communicates clinical discoveries with physician reviewer and the requesting provider to obtain clinical decision.
    • Assists the Compliance Officer in planning, implementing, evaluating, a comprehensive hospital.
    • Aides with mock survey activities, quality rounds, on the spot education.
    • Prepares clinical nursing reports for dissemination during inpatient Discharge Planning Coferences.

    Travel Required

    Not required

    Supervisory status


    Promotion Potential


  • Job family (Series)

    0610 Nurse

This job originated on www.usajobs.gov. For the full announcement and to apply, visit www.usajobs.gov/GetJob/ViewDetails/566640500. Only resumes submitted according to the instructions on the job announcement listed at www.usajobs.gov will be considered.