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Job Specification

 ASSISTANT HOSPITAL UTILIZATION REVIEW COORDINATOR

 DEFINITION

 Under  direction of the Hospital Utilization Review  Coordinator,
 assists  in the utilization review and evaluation of patients  to
 ensure  high quality patient care and to promote optimum  use  of
 hospital   beds,   facilities,  and  programs,  and   coordinates
 discharge planning; does other related duties as required.

 NOTE: The  examples of work for this title are for illustrative
 purposes  only.  A particular position using this title  may  not
 perform all duties listed in this job specification.  Conversely,
 all duties performed on the job may not be listed.

 EXAMPLES OF WORK:

 On  admission  may interview patients, and review patient  charts
 for appropriateness and classification.

 Establishes lengths of stay in accord with hospital criteria.

 May maintain a time schedule for recertification of patients.

 Interviews  inpatients  in conjunction  with  medical  staff  and
 nursing staff, and collects and records all information needed to
 recertify extended stay at proper level of care.

 Reviews cases where the necessity of extended stay is questioned,
 and reports on findings.

 In  conjunction  with medical records, may compile  and  maintain
 statistical data on patient stay and care to improve, revise, and
 update hospital criteria.

 Checks  patient data on utilization review form for  completeness
 and conformity to specific criteria.

 Reviews patient charts for completion and to ensure follow-up  as
 prescribed by doctor.

 Brings  to  the  attention  of  the Hospital  Utilization  Review
 Coordinator any irregularities in patient care.

 Ensures completion of certification and recertification forms  to
 third party intermediary.

 May   attend  utilization  review  committee  and  administrative
 meetings  in  the  absence  of  the Hospital  Utilization  Review
 Coordinator.

 Maintains  liaison  with  the nursing  division,  social  service
 division, medical records, hospital administration, and inservice
 education  division  to ensure continuity  of  patient  care  and
 effective patient communication.

 May  coordinate  discharge planning to effect  a  smooth  patient
 discharge  or transfer either to another facility or  to  a  home
 care program.

 May  prepare  and  disseminate reports, medical  care  evaluation
 studies, and other related functions.

 Will  be required to learn to utilize various types of electronic
 and/or  manual  recording and information  systems  used  by  the
 agency, office, or related units.

 REQUIREMENTS:

      LICENSE:

      Current  and valid registration as a Professional  Nurse  in
 the State of New Jersey.

      Appointees  will  be required to possess a driver=s  license
 valid  in  New Jersey only if the operation of a vehicle,  rather
 than  employee mobility, is necessary to perform essential duties
 of the position.

      EXPERIENCE:

      Two  (2) years of professional experience as a general  duty
 nurse.

 KNOWLEDGE AND ABILITIES:

 Knowledge  of objectives, principles, and methods of professional
 nursing.

 Knowledge of Medicare and Medicaid regulations and requirements.

 Knowledge   of   hospital  and  institutional  organization   and
 administration, and the laws applicable to hospital operations.

 Knowledge   of  administrative  problems  involved   in   meeting
 government requirements for patient care, optimum use of hospital
 beds, and discharge planning.

 Knowledge   of  how  to  conduct  surveys,  compile   statistical
 information, and prepare reports.

 Knowledge of the preparation and maintenance of accurate  medical
 and other records.

 Ability  to  organize  assigned work and develop  effective  work
 methods.

 Ability   to   interpret  rules  and  regulations  of   different
 government agencies.

 Ability to give assignments and instructions.

 Ability  to  work  effectively and harmoniously  with  department
 heads,  professional  staff, associates, and  representatives  of
 other agencies.

 Ability  to  assist in conducting surveys, compiling  statistical
 information,   and   preparing   reports   containing   findings,
 conclusions, and recommendations.

 Ability to speak and write effectively.

 Ability to maintain essential records and files.

 Ability  to  learn to utilize various types of electronic  and/or
 manual  recording  and information systems used  by  the  agency,
 office, or  related units.

 Ability  to  read,  write, speak, understand, or  communicate  in
 English  sufficiently  to perform the duties  of  this  position.
 American   Sign  Language or Braille may also  be  considered  as
 acceptable forms of  communication.

 Persons  with  mental or physical disabilities  are  eligible  as
 long as they can perform the essential functions of the job after
 reasonable accommodation is made to their known limitations.   If
 the   accommodation  cannot be made because it  would  cause  the
 employer undue  hardship, such persons may not be eligible.


 This job specification is applicable to the following title code:
Job
Spec
Code
VariantState,
Local or
Common
Class of
Service
Work
Week
State
Class
Code
Local
Class
Code
Salary
Range
Note
00573LC N/A24-

This job specification is for local government use only.
Salary range is only applicable to state government.
Local salaries are established by individual local jurisdictions.

7/23/1997