…for inpatient/outpatient precertification. **ESSENTIAL DUTIES &** **RESPONSIBILITIES** + Review precertification requests for medical necessity, referring to the

…with physician practices and multi-disciplinary teams as to promote the effective utilization of services and coordination of care for patients within the Section

…facility/program, emergency room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that is pending, ensure

…+ Oversees the financial operation for the laboratory by monitoring resource utilization , identifying variances and opportunities, and adjusting as needed to meet

…community services. Responsibilities: 1. Identify Cases & Prioritize Day - Review and prioritize consults received. Participate in Daily Care Management Touchpoint

…to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to

…using appropriate methods + Collaborates with division and hospital teams to review outcomes data that may lead to evaluate and refine educational activities

…with chronic illnesses in an effort improve clinical outcomes and decrease utilization . We provide physical, emotional, and spiritual support for patients who are

…identification of needed population health measures and required procedures during schedule review ; and reviews patient's plan of care with team members for

…urgent need arises. Duties and Responsibilities: + Assists in the development, review , and revision of standard operating policies and procedures in collaboration