…transform healthcare? Bring your true colors to blue. The Role The Clinical Utilization Reviewer is responsible for facilitating care for members who may have

…+ Employee Payroll - Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician

…intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, clinical documentation requirements,

…Schedules patient appointments Coordinates with the patient care team to review the clinic utilization by using various reports (eg,

…coordinated care delivery model. Coordinating with the patient care team to review clinic appointment availability utilization to ensure that clinic schedules

…or other provider. Responsible for completing focused data collection by the utilization of all clinical reminders as outlined in the clinical guidelines standing

…accurate record-keeping for all clinical services, documents, assessments, progress, and activity; review records and logs to stay abreast of changes in service

…quality of care provided by the primary care team. He/she works with utilization management reports, corporate data stores, and information services to optimize drug

…with proper follow-through. + Demonstrates prudence in par level supplies and utilization . + Serves as a resource individual for a surgical sub-specialty. +

…activities within the organization. You will demonstrate effective resource utilization , which is critical to operational stability within the organization.