
Utilization Management Educator- Case Management Admin
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Job Description
Job Summary
Under general supervision of Director Utilization Management, designs, plans, and manages education projects and formal orientation programs for Utilization Management RNs. Follows established policies, procedures, professional guidelines, adult learning principles, and evidence-based practice to align education goals with business needs and identified strategies of Tampa General Hospital. Designs learning, delivers training, and facilitates departmental change. Performs other duties as assigned to include 8 clinical review hours, per quarter. Responsible for performing job duties in accordance with the mission, vision and values of Tampa General Hospital.
- Audits data and monitors staff performance related to ongoing utilization and regulatory/payer mandates to assure compliance and appropriate patient status per clinical criteria.
- Measures and evaluates the impact/outcomes of education and regulatory compliance, and
- contributes to the improvement of human performance.
- Participates in management of the learning function, staff coaching, career planning, talent
- management, and managing organizational knowledge.
- Leads programs or workgroups and provides internal organizational development consulting.
- Identifies opportunities to optimize workflows and related UM functions.
- Bachelor's Degree in Nursing or related field
- Active RN license in the state of Florida
- Strong communication skills with ability to read, write and speak English clearly and distinctly.
- Knowledge of Microsoft Office applications including Word, Excel, and PowerPoint required.
- Knowledge of Microsoft Access, Project, Publisher, and Front Page desired.
- Experience within Utilization Review.
- Flexibility in responding to multiple demands.
- Strong organizational and time management skills
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