… Management Registered Nurse has well-developed knowledge and is proficient with standard Utilization Review processes. The Utilization Management RN is an

…regulatory bodies within the area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with Home Care protocol +

…related to acute care discharge planning. + Preferred: + Acute care utilization review experience. + Previous leadership experience. + SPECIAL SKILLS/EQUIPMENT

…and actively participating in daily multidisciplinary and bedside rounds, completing drug utilization review to promote rational drug therapy, leading and

…You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you

…the drug distribution and delivery systems. Ensures the appropriate and safe utilization of high risk medications and controlled substances as outlined by department

…auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic

…to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care

…Degree preferred) + Minimum of 2 years of case management and/or utilization review experience + Strong problem-solving and advanced analytical skills

…all facets of a patient's admission/discharge or outpatient visit/follow-up; performing utilization review activities, including review of patient