…to care across the community. Coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules are

…Advanced Medical Support Assistant coordinates with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules

…for operational performance of physician, nursing, and shared services staff in the utilization management value chain + Owns clinical rationale for utilization

…requests are addressed properly in the contractual timeline. Supports utilization management team to document authorization requests and obtain accurate

…forth by these organizations. + Data management - Maintains proficiency in utilization of credentialing database and enters MSO related data into credentialing

…monitor devices. Participates in interdisciplinary care rounds and/or conferences to review treatment goals, optimize resource utilization , and recommends

…for review depending on case findings. Educates providers on utilization and medical management processes. + Enters and maintains pertinent clinical information

…off to the outpatient setting. The role integrates and coordinates utilization management concepts, care facilitations, and discharge planning functions. The Case

…and federal programmatic requirements, rules, and regulations. Assesses quality and utilization of services and resources by: + Forecasting future programs needs

…to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to