…including a fresh perspective on workplace flexibility. **Position Purpose:** Conduct review of delegated entities for compliance with quality, service performance

…facility/program, emergency room, or from a skilled nursing facility. Responsible to review the discharge summaries, follow up on testing that is pending, ensure

…community services. Responsibilities: 1. Identify Cases & Prioritize Day - Review and prioritize consults received. Participate in Daily Care Management Touchpoint

…with chronic illnesses in an effort improve clinical outcomes and decrease utilization . We provide physical, emotional, and spiritual support for patients who are

…identification of needed population health measures and required procedures during schedule review ; and reviews patient's plan of care with team members for

…PRN/Per Diem General Summary Provides direct supervision of case management and utilization review activities performed by the WellSpan Case Management staff.

…HAVE MANAGED CARE exp and Medicare/Medicaid knowledge. + MUST HAVE UM experience, inpatient utilization management review . + MUST HAVE 1 YEAR OF UTILIZATION

…plans. + Responsible for oversight of the care coordination, social work and utilization review department's processes in accordance with federal, state, and

…on an **acute/critical care** unit, organ donation/transplant unit, in tissue/blood banking, utilization review and/or case management with critical care skill

…studies and surveys with technical staff; for the purpose of quality assurance, utilization review and the overall improvement of medical programs of the