Utilization Review Nurse Coordinator (40 Hour) #260901-5613FP-001

About the role

As a Utilization Review Nurse Coordinator, you will have the opportunity to coordinate Regional Mortality Review Committee activities; review and evaluate clinical, medical, and investigative documentation; collaborate with healthcare and community partners; support clinical oversight and quality assurance activities; conduct clinical record audits; maintain mortality review data and case tracking systems; analyze clinical and quality data; assist in developing corrective actions and quality improvement initiatives; support DDS compliance with federal and state healthcare requirements; and provide clinical and administrative support to the Regional Health Services Director.

Responsibilities

• Coordinate Regional Mortality Review Committee activities; including scheduling meetings, obtaining and organizing pertinent healthcare information and medical records, and assisting with preparation of case materials for committee review
• Review and evaluate clinical, medical, and investigative documentation to identify concerns, trends, and areas requiring follow-up
• Collaborate with healthcare, regulatory, investigative, and community partners to obtain and evaluate clinical information necessary to support mortality review, quality assurance, and other departmental oversight activities
• Support clinical oversight, accountability, and quality assurance activities necessary to safeguard the health, safety, and welfare of individuals receiving DDS services
• Conduct clinical record audits and quality assurance reviews to evaluate adherence to applicable laws, regulations, policies, procedures, and professional standards
• Maintain mortality review data, case tracking systems, and related records to support timely case review, follow-up, reporting, and quality improvement activities
• Analyze clinical and quality data to identify trends, systemic concerns, and opportunities for improvements, with the goal of strengthening systems of care and reducing preventable adverse outcomes
• Assist in the development and implementation of corrective actions and quality improvement initiatives
• Support DDS compliance with applicable federal and state healthcare requirements
• Provide clinical and administrative support to the RHSD in carrying out mortality review and related oversight activities
• Participate in and provide clinical support to regional committees, review processes, and other clinical oversight activities as directed by the RHSD (Regional Health Services Director)

Requirements

• Incumbents in this class must possess a current license as a Registered Nurse (RN) in CT
• Work schedule flexibility is required in order to meet the demands of the job
• For those who hold an RN license in a state other than Connecticut and do not hold a multistate or compact registered nursing license, and wish to apply for a Connecticut license: review eligibility and documentation requirements for CT license by endorsement; complete a CT DPH online application; request verification of out-of-state license(s) electronically through the National Council of State Boards of Nursing's Nursys System

Schedule

• First (1st) shift | Full-time | 80 hours biweekly
• Monday through Friday 8:00 AM - 4:30 PM
• Work schedule flexibility is required in order to meet the demands of the job

Benefits

• Professional growth and paid professional development opportunities
• A healthy work-life balance to all employees
• State of Connecticut is an eligible Public Service Loan Forgiveness employer, meaning you may be eligible to have qualifying student loan forgiveness after 10 years of service