…guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality

…may include prior authorizations, vacation supplies, dose changes, price check and drug utilization review . + Process new and refill prescriptions in the

…Facilitates patient placement in conjunction with the Admitting Department; may assist utilization review process; collaborates with Nurse Manager regarding long

…retrieval, hospital wide quality assessment and improvement excluding patent services, utilization review , cancer registry and medical library. Bachelors degree

…guidelines. Participates in developing department goals and clinical programming. + Performs utilization review as assigned. + Helps with Process and Quality

…documentation of admissions to the Business Office, Admitting Unit and the Utilization Review Department. + Communicates with managed care organizations to

…acute care setting with discharge planning, continuing care, care management, and utilization review preferred. + Strong verbal and written communications skills

…have experience in providing SUD services and performing Quality Management and/or Utilization Review activities. They would have excellent written and verbal

…and procedures for infirmary admissions, emergency room transfers, and the utilization review process for specialty referrals while maintaining responsibility

…Specialist Works collaboratively with the Complex Care Nurse Managers, Social Workers, and Utilization Review Nurses, in coordinating and providing care that is