Nurse (Utilization Review Nurse

Duties

Help This position is located in the Health Services Department of a Bureau of Prisons, Medical Referral Center (MRC), Medical Care Level 3 Facility, or Federal Correctional Complexe (FCC). Serves as the Utilization Review Nurse and assists in quality improvement activities through data collection, monitoring the quality of processes that impact patient safety, appropriateness of care, and efficiency of the health care delivery system.

Responsible for coordination, preparation, record keeping and reporting of significant findings related to time from designation to arrival; initiation of services and consults; and review of timely care and treatment completes. Responsible for the coordination, preparation, record keeping, and reporting of significant findings related to the appropriateness of medical care and communicates findings to the Utilization Review Committee. Applies predetermined evidence-based criteria sets and clinical practice guidelines when reviewing patient care in an effort to ensure the delivery of standard of care to patients and reduce the risk of harm to patients.

Along with all other correctional institution employees, incumbent is charged with responsibility for maintaining security of the institution. The staff correctional responsibilities precede all others required by this position and are performed on a regular and recurring basis.