…to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied medical services. This includes First Level Appeals /

…engagement in self-care, decreasing risk status, and minimizing hospital and ER utilization . + Identifies, manages, and coordinates patient care and provides ongoing

…quantify cost savings. + Contributes to unit plans for resource utilization and capital needs, incorporating financial evaluation within project management. Drives

…will determine the efficacy of therapeutic interventions, technologies and outcomes and the utilization of COTA's, students and support personnel. + You will work as

…approach to collaborate with other health care professionals to plan, monitor, review , and evaluate the cost, utilization , safety and effectiveness of

…Patient-Centered Medical Home processes and provide documentation demonstrating performance. + Review the medical record for quality and utilization indicators

…mental health problems and/or emotional disorders of individuals. Provides review and evaluation of dually diagnosed individuals during pre-admission process

…2. Demonstrates knowledge of a variety of imaging equipment including setup, utilization , troubleshooting, and proper care and sanitization of all equipment. 3.

…problems, personnel, proficiency testing, interfaces, etc.) for technical supervisor review to assess acceptable levels of performance. Demonstrates initiative with

…and external customers and stakeholders. **Preferred Qualifications** + Experience with utilization review process. + Experience with behavioral change, health