…other community agencies + Participates in related VNS Home Care activities, eg, utilization review , staff meetings, education programs, etc . + Assumes

…Initiate pre-cert for patients when required, obtaining precertification reference number, and utilization review company contact person and telephone number +

…which may include staff scheduling, scheduling clinical activities, program development, utilization review , case load assignment, and attending meetings as

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan

…years experience in a healthcare setting, ideally in a discharge planning, utilization review , registration, billing or financial counseling capacity. Knowledge

…needs. + Monitors and assesses the use of hospital services by administering utilization review procedures under Federal, State and hospital guidelines. +

…Hospital combine the skills of nurses, social workers and insurance reviewers ( utilization review ) to assess patients' physical, emotional, social and economic

…service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability

…including at least three years of Care/Case/Disease Management, Health Plan, or Utilization Review experience + Thorough understanding of advanced primary care

…Required Experience 5 years in healthcare with experience in pre-certification Required 3 years experience in utilization review , medical management Required