…date/time/receiving unit with referral source, GPU staff and FMH staff. Care Management/ Utilization Review For patients with reviews patient medical records for

…in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal

…and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness

…payroll. + Develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, internal evaluations. +

…Palliative Care and Hospice Team members to assure that clinical protocols, utilization review , case management, quality assurance, and compliance Programs are

…Director** **Carelon Medical Benefits Management** **Radiology Benefit** **Management/ Utilization ** ** Review ** **Schedule:** **Monday-Friday 9AM-5PM Central

…principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate

…+ Experience developing performance improvement plans, field staff orientation, clinical chart review , and utilization review reporting + Strong assessment

…entry (CPOE). 3. Oversees and collaborates on care coordination, social work, utilization review and accreditation processes. 4. Partners with Medical Staff

…Course (BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. At Mountain View