…works with physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult, geriatric, neonate, pediatric

…forwards to departmental chairpersons, Medical Staff committees, and to the board for review and action. * Coordinates tracks and monitors flow of information to

…as appropriate. Participates in budget preparation for cost centers. Assures economical utilization of time, materials and resources through review of workflow

…providers, with emphasis on driving clinical policy alignment through increased utilization of technology platforms * Educate market providers on the benefits

…and timely completion of Medicare and Managed Care regulatory guidelines. + Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.

…for interpretation, and reproducing them on film for permanent storage, and/or utilization of a networking system. This position will function without constant

…the patient population and skill mix of employees. + Ensures optimal utilization of department resources through participation in planning and budgeting processes,

…patient care. + Resource Management + + Identifies opportunities to improve utilization of resources. + Professional Development + + Takes responsibility for meeting

…winning facility and departments including "Great Place to Work" by Becker's Hospital Review and Gallup. + Work with the latest technology and top experts including

…serves as a contact and resource person to Health Solutions' members for the utilization review (UR) of healthcare services. The UM Reviewer will be responsible