…or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan

…experience in the analysis of medical services documentation and related claims 2) Utilization Review 3) Case Management 4) Analysis of CPT codes and/or

…third-party authorizations, referrals) and will contact the physician and Case Management/ Utilization Review personnel, as necessary. + Informs patient/guarantor

…or case management experience and requires a minimum of 2 years clinical, utilization review , or managed care experience; or any combination of education

…(pre-certifications, third-party authorizations, referrals) and contacts physicians and Care Management/ Utilization Review personnel, as needed. + Obtains and

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan

…vendors, nursing agencies) to improve work. Follows CQI procedures. Assist with Utilization Review responsibilities. Other duties as assigned. *Minimum Education

…clinical setting required, 3 years of Clinical Documentation Improvement experience preferred. Utilization Review and / or Case Management experience preferred

…+ At least 3 years previous experience in health care, care coordination, utilization review , and discharge planning or similar healthcare setting is required.