…execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and

…a Certified Professional Coder required. + Three to five years of case management utilization review , or compliance related work experience in a hospital setting

…RN clinical experience required. Minimum of two years of recent experience in Utilization Review , Quality, or Care Management preferred. + Knowledge of acute

…needed by the patients in a timely and effective manner. You will collaborate with Utilization Review in order to identify and address barriers to timely and

…episode through post discharge for quality, efficiency, and effectiveness. The Utilization Manager works collaboratively with other Clinical Care Management staff to

…subject matter experts, physicians, member representatives, and discharge planners in utilization tracking, care coordination, and monitoring to ensure care is

…of employment + 3 years Clinical nursing experience + 1 year utilization Management- review and Discharge-planning experience **Why Join Providence?** Our

…- Understanding and experience in behavioral healthcare - Demonstrated skill in utilization management and review systems - Ability to work independently

…involved in a PACT model. The AMSA coordinates with the patient care team to review the clinic utilization by using various reports (eg, Clinic Utilization

…Schedules patient appointments Coordinates with the patient care team to review the clinic utilization by using various reports; Maintains