…Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to, patient care charting,

…preceptor by mentoring PA's regarding care of defined populations in resource utilization and time management. + Demonstrate leadership as a clinical resource,

…to staff on policies and procedures related to 340B compliance. + Monitor utilization records and 340B purchasing accounts to ensure the software/tools are working

…for administration and reporting of outcome measures and documentation of utilization management of clinical care. Demonstrate knowledge of other regulatory

…for administration and reporting of outcome measures and documentation of utilization management of clinical care. . Demonstrate knowledge of other regulatory

…complete the necessary paperwork for prior authorizations, conduct retrospective utilization reviews on cases of payment denials or insufficient reimbursement,

…positive customer experiences. + Facilitates effective supply ordering and utilization . + Coordinates the implementation of all specialty programs specific

…seeking a (RN) Registered Nurse with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and

…and Auto (PIP/Medpay) lines of business by performing prospective and retrospective Utilization Review of medical services/treatment requested or rendered by

…the activities of hospital staff in inpatient care coordination, social work, utilization review , and discharge planning. + Collaborate with the Medical