…study to be done. Consults with referring physician to ensure appropriate utilization of services. Regularly performs general office duties, scheduling patients and

…operations of the Care Management Department. Assures that appropriate resource utilization related to patient care is coupled with identified quality outcomes.

…Authorization Protocol, authorizations not meeting protocol parameters are prepared for review , including direct contact with physician's offices and physicians to

…an awareness of financial stewardship with regards to supply and labor utilization . . Initiative: Ensures professional growth and development of self and department

…monitors visits, site visits and study close-outs; and collaborates on the review of documentation during protocol audits. + Develops protocol specific Beacon order

…blood pressure, weight, and height), chief complaint(s), preforms medication(s) review , discusses/reviews medical and social history (as appropriate). Documents, in

…with other community agencies.* Participates in related department activities, eg, utilization review , staff meetings, education programs, etc.* For Assertive

…Experience in the development and management of quality, risk, and utilization review processes. Demonstrated leadership, communication, and analytical skills.

…and transfer of patients, appropriately guiding physician understanding of admission Utilization Review InterQual criteria + Facilitate and communicate the

**Position Summary:** The primary role is to supervise the Utilization Management, Surgery Registration, and Financial Counselors activities to insure a payor source