The chart reviews focus on medical necessity of admissions, duration of stay and appropriateness of placement/continued stay and discharge and oversees clinical insurance reviews for patients at JFK ADATC.

This position has responsibility for the Utilization Review Department and oversees the concurrent and periodic retrospective chart reviews. This individual will serve as the point person during regulatory and accreditation surveys, develop corrective action plans and subsequent monitoring of the plan. This responsibility extends across all departments, and programs within the hospital. The position will oversee the development of criteria sets with input from stakeholders. The position will also engage in monitoring and evaluating primary indicators of quality performance outcome measures specifically in nursing and medical staff issues based on standards and best practice. The position will provide the clinical knowledge base in carrying out planned and systematic reviews and assessments on patient care. We are seeking a motivated individual to provide clinical knowledge to develop and maintain a comprehensive integrated and cohesive strategy that ensures that regulatory requirements are consistently integrated into hospital operating procedures. If you are looking for a challenging career working as part of a multi-disciplinary team that impacts lives, please consider the Quality Assurance/UR Standards Manager position at the Julian F Keith Alcohol and Drug Abuse Treatment Center (JFKADATC) in Black Mountain. **This is a repost previous applicants do not need to reapply and are still being considered for this position.**

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