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Clinical Auditor / Utilization Reviewer
Farmington, NM
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Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.
The Clinical Auditor is responsible for abstracting and analyzing data from multiple sources to provide information to the organization which will be used to improve clinical quality.
Required Behaviors:
As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values.
These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability, and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.
Required Qualifications:
At least 2 (two) years of Acute Care clinical background
Registered Nurse (RN)
Strong analytical skills
Strong organizational skills
Exemplary customer service skills
Skilled in Microsoft Word and Excel
Excellent written and oral communication skills
Capacity to work under pressure to meet deadlines in a fast-paced environment
Basic understanding of how to locate and interpret evidence-based, scholarly literature
Ability to develop a consistent approach to data collections to ensure validity and reliability of data
Must be able to prioritize multiple projects, perform complex tasks, organize, and follow through consistently
Preferred Qualifications:
Bachelor's degree
Basic understanding of Cerner
Knowledge of risk management principles to support organization's Quality Management System and
ISO 9001
compliance
Duties and Responsibilities:
Perform data analysis
Maintain Excel databases
Collect and create physician profiles
Perform medical chart audits - paper and electronic
Collect data and create reports/charts depicting the data
Create and run reports from Cerner and related databases
Participate on performance improvement teams and committees as needed
Support QIEC (e.g., performing data entry, writing follow-up letters on actions, researching cases, etc.)
Perform other duties as assigned
Each employee is responsible for implementing SJRMC's Service Standards into their daily work:
Safety, Courtesy, Effectiveness, and Stewardship Physical Demands and Environmental Work Conditions:
Moderate noise levels
Frequent interruptions
Primarily office setting with rounding throughout hospital
Prolonged sitting, standing, walking, and looking at computer screen
Sits, stands, bends, lifts, and moves intermittently throughout the day
Must be able to perform quickly and accurately in a busy, stressful environment prioritizing duties
Portion of job duties involve the application of manual skills requiring motor coordination in combination with finger dexterity (e.
g., typing on computer keyboard, using a 10-key calculator, etc.) As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization. Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission. To learn more, visit us at http://www.sanjuanregional.com.