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: 12-14-73
Revise Title & Class: 12-07-78
Revise Class: 10-24-83
Revise MQ: 7-2-90

CSR Class Conversion (mc): 06-01-05