…analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting + Develop clinical

…his/her practice. + Performs proactive review of medical documentation necessary for utilization review on direct or ED admits to determine appropriate level

…analysis, coordinate reports to clients, meet regulatory reporting requirements for drug utilization review and fraud and abuse reporting. + Develop clinical

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

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

…that establish, expand, and maintain the pool of eligible service providers. + Utilization review : uses professional skills in quality management activities such

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

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

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

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