UNIVERSITY OF WASHINGTON
Specification for Class
UTILIZATION REVIEW COORDINATOR
UW CODE AND REPRESENTATIVE GROUP
8028 (SEIU Local 925 Clerical Nonsupervisory)
CLASS SERIES CONCEPT
Assess chart documentation to determine appropriateness of hospitalization of patients in an acute care setting;
BASIC FUNCTION
Justify admission and length of stay of designated patients as required for agency reimbursements; abstract and code patient data;
DISTINGUISHING CHARACTERISTICS
Under general direction, review chart documentation to justify patient care in order to meet agency reimbursement requirements;
TYPICAL WORK
Review all designated admissions for appropriateness; follow-up at predetermined intervals for continued stay;
Monitor patient length of stay, evaluate for variation from regulatory agency standards and consult with physician advisor as necessary;
Complete patient abstracts per agencies' guidelines;
Participate with Quality Assurance Department in compiling data for audits;
Justify, in writing, the patients' need for continued hospitalization;
Assist in coordinating monthly meetings;
Attend meetings or conferences to maintain professional accreditation;
May take minutes of scheduled meetings;
May compile and maintain departmental record systems;
Perform related duties as required.
MINIMUM QUALIFICATIONS - UW Contract Classified
DESIRABLE QUALIFICATIONS - Classified Non-Union
Graduation from an accredited School of Nursing of Health Care Records Program approved by the American Medical Records Association;
Equivalent education/experience will substitute for all minimum qualifications except when there are legal requirements, such as a license/certification/registration.
New Class: 12-14-73Revise Title & Class: 12-07-78
Revise Class: 10-24-83
Revise MQ: 7-2-90
CSR Class Conversion (mc): 06-01-05