…of care; documents clinical interventions, participates in QA monitors, drug utilization review , pharmacoecomomic analysis, and monitors medication therapy

…of subordinate nurses engaged in quality assurance, infection control, and utilization review activities. Receives physicians' instructions regarding patient

…+ AHA BLS card + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. + Able to apply clinical guidelines to ensure

…input on utilization management, and attending all required trainings impacting utilization review and accreditation procedures. + Manage own caseload and

**Position specific details: This is a utilization review /appeals role where the successful candidate will be a** **board-certified psychiatrist** **and reside

…duties with attention to detail and in a timely manner. + Collaborates with Utilization Review Nurses. + Referrals: + Primary Care Physicians + Behavioral Health

…care is delivered. The Care Management RN Supervisor effectively resolves utilization review issues, provides leadership in resolving psychosocial issues,

…(BLS or BCLS) and Certification. + Certification in case management or utilization review preferred. + InterQual experience preferred. HCA Healthcare's Alaska

…service delivery documentation (including counseling/treatment planning), HIPAA/Confidentiality standards, utilization review , and data management. + Ability

…Day Habilitation services and training certifications. + Partners with Quality Assurance on utilization review and utilization management for Day Services to