Nurse Manager Utilization Management - Portland
1 month ago
Job summary
In addition to the responsibilities listed above this position is also responsible for providing oversight of systems designed to monitor and ensure the quality care and services are provided at a comparable level to all members and patients across the continuum of care coordinating efforts to resolve routine issues in quality improvement systems aligning efforts to ensure that the organization meets the standards established by regulatory agencies and accreditation organizations and meets public expectations serving as a point of contact and expert on the integrity of systems related to the selection credentialing and competence of physicians and other health care practitioners driving the utilization of systems for granting or terminating clinical privileges professional staff or medical staff or clinical staff membership proctoring and continuing education leading review approval medical staff provider Bylaws Rules Regulations amendments maintaining oversight for systems all contracted entities including but not limited limited Permanente Medical Groups This role also responsible overseeing peer review process committees forums managing gathering direct information hospital health system performance aligning preliminary feedback sources integrating feedback develop strategic development plan address needs solve problems
Job description
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