Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors patient charts and records to evaluate care concurrent with the patients treatment. Being a Utilization Review Coordinator reviews treatment plans and status of approvals from insurers. Collects and complies data as required and according to applicable policies and regulations. Additionally, Utilization Review Coordinator consults with physicians as needed. May require a bachelor's degree. Typically reports to a supervisor. Typically requires Registered Nurse(RN). The Utilization Review Coordinator contributes to moderately complex aspects of a project. Work is generally independent and collaborative in nature. To be a Utilization Review Coordinator typically requires 4 to 7 years of related experience. (Copyright 2024 Salary.com)
POSITION SUMMARY: The Doctors Hospital at Renaissance Institutional Review Board (DHR IRB) Coordinator/Specialist will coordinate all incoming research activities through the DHR IRB. Successful candidate will serve as the primary regulatory resource for all research investigators submitting research studies to the DHR IRB and will ensure that all research and studies are conducted in compliance with federal and state regulations, DHR Health system policies and DHR Research Institute policies relating to Human Subject Research.
POSITION RESPONSIBILITES: In support of research protocols, the IRB coordinator/specialist will be required to fill the following responsibilities:
In support of IRB administrative duties and responsibilities, the IRB coordinator/specialist will be required to fill the following responsibilities:
The IRB Coordinator shall perform the following additional functions, as needed, in support of Institutional Review Board operations:
JOB KNOWLEDGE/EXPERIENCE: The successful candidate will have a strong background in human subject research compliance and knowledge with codes of federal regulations 45 CFR 46.111 and 21 CFR 56.111. Candidate must display knowledge in the various types of research activities; criteria for approval associated with each category and are able to communicate effectively to the DHR research community of such rules and regulations.
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