Clinical Auditor / Utilization Reviewer
Quick Facts
Median Salary$96,466
Most Common EducationBachelor's degree
Projected 10-Year Growth-15.97%
Assessment MatchTake the Assessment
What They Do
A Clinical Auditor or Utilization Reviewer reviews the efficiency of healthcare delivery. Individuals tend to have had experience as a registered nurse or other healthcare delivery roles before transferring into this quality review role.
Core Tasks:
- Translate nursing practice information between nurses and systems engineers, analysts, or designers, using object-oriented models or other techniques.
- Use informatics science to design or implement health information technology applications for resolution of clinical or health care administrative problems.
- Develop or implement policies or practices to ensure the privacy, confidentiality, or security of patient information.
- Analyze and interpret patient, nursing, or information systems data to improve nursing services.
- Identify, collect, record, or analyze data relevant to the nursing care of patients.
- Apply knowledge of computer science, information science, nursing, and informatics theory to nursing practice, education, administration, or research, in collaboration with other health informatics specialists.
- Design, develop, select, test, implement, and evaluate new or modified informatics solutions, data structures, and decision-support mechanisms to support patients, health care professionals, and their information management and human-computer and human-technology interactions within health care contexts.
- Develop, implement, or evaluate health information technology applications, tools, processes, or structures to assist nurses with data management.
- Disseminate information about nursing informatics science and practice to the profession, other health care professions, nursing students, and the public.
- Analyze computer and information technologies to determine applicability to nursing practice, education, administration, and research.
- Develop strategies, policies or procedures for introducing, evaluating, or modifying information technology applied to nursing practice, administration, education, or research.
- Design, conduct, or provide support to nursing informatics research.
- Develop or deliver training programs for health information technology, creating operating manuals as needed.
- Read current literature, talk with colleagues, and participate in professional organizations or conferences to keep abreast of developments in informatics.
- Inform local, state, national, and international health policies related to information management and communication, confidentiality and security, patient safety, infrastructure development, and economics.
- Provide consultation to nurses regarding hardware or software configuration.
What to expect as a Clinical Auditor / Utilization Reviewer
1Earn a Bachelor's degree
54% of people achieve this level of education.
2Gain skills and experience
See Clinical Auditor / Utilization Reviewer related courses on Tallo
3Land a job
468 openings for Clinical Auditors / Utilization Reviewers
Career Progression
in United States (Nation)
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