…or BSN preferred. Must have current RN license. Preferred experience in Utilization Review /Management. Location: Vassar Brothers Medical Center Work Type:

…principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and Health Information Management to ensure

…and referrals for psychosocial needs + Participates in Quality Assurance and Utilization Review activities, as directed + Empowers patients in decision-making

…. Documents thoroughly, timely, legible and clinically appropriate. Demonstrates knowledge of utilization review and collaborates with the Utilization

…with transferring patients to lower levels of care + 1+ years' experience in Utilization Review + CCM and/or other URAC recognized accreditation preferred + 1+

…must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US

…principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate

…+ 1 year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization experience is preferred. +

…clients, brokers and other key stakeholders. + As Clinical Advisor, supports client utilization review and strategy meetings, providing medical cost trend, large

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