…health care more personal, convenient and affordable. This is a fully **remote** Utilization Review Clinical Consultant with a schedule of Monday-Friday, 8am

…rotating weekend and holiday schedules. ​ **Preferred** **Qualifications** + Managed care/ utilization review experience preferred + Experience in a behavioral

…College of Physician Advisors ( ACPA), American Board of Quality Assurance and Utilization Review Physicians, Inc. (ABQAURP), or American Physician Leaders in

**Job Description** The Case Manager is responsible for all aspects of case management/ utilization review for an assigned group of inpatients, ED patients and

…related to the delivery of medical care and clinical services such utilization review , quality assurance, policies, procedures and guidelines development. 3.

…measures including sentinel event review . + Actively participant of the Utilization Review process and follow proper procedures. + Provides appropriate

…therapeutic drug monitoring, collaborative drug therapy management, quality assurance/ utilization review , formulary management, drug information, etc.)

…team leader in multi-disciplinary team discussion regarding treatment planning, treatment review , quality assurance and utilization review

…of the admissions process. + Coordinates with Business Office, Medical records, and Utilization Review departments regarding the tracking and ongoing training of

…case management experience preferred. + Certification in case management, nursing, or utilization review preferred. + InterQual experience, preferred. + Basic