…applicable Logan Health, State, and Federal requirements as they relate to Utilization Review , Discharge Planning, and Care Coordination processes as applicable

…+ Assists with maintaining updated dental protocols. + Participates in peer and utilization review . + Provides feedback and supports CDO with performance

…and Competencies:** + Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party payers

…documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department. . Maintains knowledge of the developmental tasks

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

…of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. + Receives physicians' instructions regarding resident

…high levels of patient satisfaction. The Care Coordinator consistently conducts the utilization review process and the discharge planning process as required

…agencies, etc., assists social worker(s) with specific problems, and assists with utilization review functions as needed. Education: RN Licensure required

…nursing, medical case management, occupational health, orthopedics, home health care, utilization review , or quality assurance + Familiarity with regional

…staff's mutual interests. + Responsibility for quality assurance, appropriate utilization review , process improvement teams, credentialing and appointment