…(HUC), Medical Terminology + Prior experience in discharge planning, billing, utilization review , financial counseling or registration + Proficiency in

…Proficiency with computers, electronic health records (EHR), database systems, and utilization review /case management documentation systems. + Knowledge of CMS,

…**Minimum Experience:** **One year related in acute care facility and/or utilization review training and/or healthcare experience.** **Minimum Experience:**

…operations aspect of the offices. Leads and assists with the implementation of utilization review , quality assessment, and process improvement plans related to

…managed care guidelines, best practice protocols, evidenced based care, and the utilization review processes. In partnership with the supervising physician the

…care through adherence to policies and procedures for admission and transfer, utilization review , and referrals. + Assumes responsibility and accountability for

…and data reporting. + Work with Strong Ties leadership and Dept of Psychiatry Utilization Review team to address documentations concerns in a timely way and

…clinical procedures for nurses providing care to trauma patients, performs all utilization review and risk management activities. 3. Supervises, develops, and

…Employee Payroll - Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician

…explain primary care provider role. + Facilitates patient/family conferences to review treatment goals, optimize resource utilization , provide family education