…engagement, ie, peer-to-peer accountability. **SERVICE ESSENTIAL FUNCTIONS** + Performs review for medical necessity of admission, continued stay and resource

…appropriate for complex case management and timely completion of all utilization management activities. Involvement in the development of case management plans.

…information presented meets medical necessity criteria or requires additional medical necessity review . + Conducts initial medical necessity review of exception

…First Come First Service operating room time. + Actively monitor surgeons block time utilization to ensure Urology is meeting the utilization and usage targets

…and procedures. **Job Overview** This position is responsible for the oversight, review and improvement of business operations. Seeks to improve overall performance

…room services. Collaborates with the Department of Anesthesia in schedule review and identification. Collaborates with charge anesthesiologist/CRNA to ensure that

…+ Your Primary function in this role is to Performs admission and concurrent review for all payers and maintains legible documentation as directed by the

…through the application of evidence-based knowledge, analysis, in-depth review , interpretation, identification of opportunities, communication and consistent

…optimization efforts and actively supports and promotes system standardization, utilization , and best practices. Provides critical thinking skills in analyzing

…using established protocols + Validates financial responsibility prior to service utilization and completes an accurate financial interview at time of registration