…and that transition planning assessments are completed timely. (30% daily, essential) Utilization Management Monitors the review process to ensure staff follow

…Direct patient care- Customer Service.- Quality management- Performance Measures- Utilization review and management- Evidence-based practice- Administrative

…Skills and Abilities Preferred: + Knowledge of milliman and/or interqual criteria, utilization review , discharge planning and case management Licenses and

…guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality

…documentation and billing in a timely manner. Ensure that documentation meets utilization review and quality assurance standards. + Communicate and share

…research psychology, industrial psychology, organizational psychology, health psychology, utilization review , guidance counseling, pastoral counseling, or

…well as manage medical expenses based on trends. They will maintain UM review requirements, obtain reporting to understand utilization trends and cost, recommend

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

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

…Plastics, Urology, or Podiatry. The Advanced MSA coordinates with the specialty team to review clinic utilization by using various reports in VISTA and tracking