…before working independently. Managed Care and Clinical Design: + Understand utilization management and support the organization's clinical review activities.

…point for application support and will help drive the implementation and utilization of key applications they are assigned. They will understand and assist

…facility-based and outpatient professional treatment health benefits through telephonic or written review .** **Primary duties may include but are not limited to:** +

…monitoring and evaluation of case management services through the appropriate utilization of resources. Application of appropriate medical necessity tools to

…the healthcare continuum from the introduction to adoption and advancing utilization of HCA technologies. Duties also include ensuring providers (and personnel)

…appropriate to the age of the patient treated. + Performs admission review on all inpatients. Attends daily patient rounds and shares professional knowledge,

…and profitability for the organization. + Co-leads client meetings to review Fairview Specialty Pharmacy's programs and performance results using comprehensive

…a registry to track all assigned patients and prioritize patients for case review and treatment adjustment. + Recommends any treatment adjustments through the case

…ventilation modalities, medication administration, use of varied medical equipment, utilization of electronic medical record documentation, and assists providers

…Health Services strategies, policies, and programs are comprised of utilization management, quality management, network management and clinical coverage and