Position Summary The Coordinator is responsible for coordinating insurance initial authorization, concurrent reviews, monitoring quality data, and collecting and monitoring adherence to BH core measures. Primary Position Responsibilities 1. Responsible for coordinating and managing insurance authorizations and concurrent reviews for the HBH service line including responsibility for oversight and management of insurance processing and utilization review for outpatient programs. 2. Coordinates performance improvement activity throughout HBH and creates annual reports for all performance improvement activity for report at the organizational level, which includes responsibility for assisting in identifying and managing ALL Quality and PI data for the HBH service line, and partaking in CRC meetings and FMEAs developing and providing oversight to action plans. 3. Provides appropriate reports for performance improvement activities which include the PI tools of histograms, pareto charts, run charts or control charts with each project, as needed, and uses available clinical databases to identify opportunities for improved patient outcomes, organizational efficiencies and organizational cost reduction. 4. Works with the Regulatory & Accreditation Specialist to ensure compliance for successful survey with all DMHAS, DOH, TJC, and CMS as needed. Ensure inspection, monitoring, implementation plan and reports are completed by due date. 5. Other duties as assigned. Qualifications Minimum Education: Required: All hires after July 2012 are required to have a Bachelor's Degree in nursing OR if Associates Degree or Diploma, RN must provide proof of enrollment in a BSN program prior to hire, be continuously enrolled and complete within 5 years of hire date or internal RN promotion date. Minimum Years of Experience (Amount, Type and Variation): Required: At least 2 years of experience with utilization review. Preferred: Previous experience with QI/PI collection, data compilation, and processing. License, Registry or Certification: Required: NJ RN License Knowledge, Skills and/or Abilities: Required: Knowledge of insurance authorizations, concurrent reviews for insurance, and utilzation review. Preferred: Previous experience collecting and compiling QI/PI data. Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings. The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).