…of the coding/CDI staff for ICD 10 coding. + Responsible for concurrent review process for ICD-10 coding utilization . + Responsible for specific physician

…management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. + Reviews cases

…while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for

…area, such as program evaluation, clinical risk management, standards compliance, survey readiness, utilization review , or a closely related area; or 2. Three

…with eligible inpatients and Partial program patients and also may perform utilization review for this patient population Provides discharge planning and

…practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data

…interpersonal skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party

…emergency room for medical emergencies. + Psychiatric Nurse practitioners may participate in utilization review activities as needed to ensure patients are able

…level, and staff availability. . Participates in and drives clinical components of utilization review . . Addresses staff, physician, patient, and family concerns