…care by ensuring the appropriate level of care at the point of entry. The utilization review nurse will work on defined patient populations and is responsible

Position Summary: The Utilization Review Specialist/Outcomes Specialist conducts concurrent and retrospective review functions in support of the hospital

…management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality

…and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a

…behavioral health conditions and members with special needs. Working knowledge of utilization review procedures, and familiarity with mental health community

…high level supervisors (ie, ACON, ADPCS/NE).? Other duties include BMS coordination and utilization review for correct level of care. As a BMS/Bed Coordinator,

…**Minimum Required:** One year of healthcare experience. **Preferred/Optional:** Discharge Planning, Utilization Review or Case Management experience in a

…certified at least sixteen (16) hours per month. Demonstrate an understanding of utilization review processes. Basic computer skills to include, but not limited,

…documentation including, but not limited to biopsychosocial and safety assessments, QA, chart review and utilization review . + Co-manage the therapeutic

…2) developing/overseeing a regional length-of-stay multi-disciplinary team (eg care management, utilization review , finance, etc.); and 3) working with