…With Us! (https://careers-primehealthcare.icims.com/jobs/185117/ utilization - review -coordinator-%28pd%29/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306)

…specialist regarding correct level of care and reimbursement. Apply knowledge of utilization review , discharge planning, patient status changes, length of stay,

…guidance to staff on issues involving discharge planning, payer relations and utilization review . + Monitors and shares department Key Performance Indicators

…Minimum of three (3) years experience specifically in Behavioral Health Utilization review and casemanagement.Managed Care or Discharge Planning experience

…Requires a HS diploma or equivalent and a minimum of 2 years of clinical or utilization review experience and minimum of 1 year of managed care experience; or

…date/time/receiving unit with referral source, GPU staff and FMH staff. Care Management/ Utilization Review For patients with reviews patient medical records for

…in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal

…and case management within a managed care environment. + Comprehensive knowledge of Utilization Review , levels of care, and observation status. + Some awareness

…payroll. + Develop and implement crisis intervention emergency procedures, oversee Utilization Review , Quality Assurance, investigations, internal evaluations. +

…Palliative Care and Hospice Team members to assure that clinical protocols, utilization review , case management, quality assurance, and compliance Programs are