…Computerized Tomography Scans following protocols outlined and provided by Radiologists. + Review of physician orders and diagnoses prior to scanning, will discuss

…assess ABA Treatment Plans preferred. Knowledge of ABA services and BH utilization review process preferred. Experience working with providers and healthcare

…performance and facilitates educational training for medical staff on issues related to utilization management. 8. Implements utilization review policies and

…**Description:** Abiding by the St. Joseph's Health Mission and Values, the manager of Utilization Review is responsible for the planning, and coordination of

…teach. (Required) + Knowledge of discharge planning, health care reimbursement, utilization review processes and Medicare admission status/classification level.

…mental health/crisis intervention experience required. Previous experience with case management/ utilization review and managed care models preferred. Please

…quality of service throughout the case management process. Performs direct Interqual/M&R utilization review on all acute admissions. **Essential Key Job

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan

…through direct care and multidisciplinary team coordination. Participates in the utilization review , performance improvement and interdisciplinary conference of

…efficient manner to ensure timely and compliant care coordination, discharge planning, utilization review and social work interventions resulting in quality