…Management (ICM) team the Utilization Manager (UM) II position supports utilization review functions to ensure appropriate patient status before the patient

…utilizes hospital resources in the development of care, discharge planning and Utilization Review . * Utilization Management performs prospective, admissions,

…abuse through the identification of aberrant coding and/or billing patterns through utilization review . + Prepares appropriate FWA referrals to regulatory

…a current RN License may take Doctor's orders. 4. Conducts initial utilization review by obtaining treatment authorizations as appropriate with representatives

…may substitute leadership experience elsewhere. + Working knowledge of admissions and intake, Utilization Review , and 3rd party or insurance payers. + Previous

…trends on a monthly basis + Responsible for timely and accurate completion of Utilization Review and Triple Check + Serves on, participates in, and attends

…management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process

…functions. + Under direction of supervisor, establish appropriate therapeutic boundaries, utilization of identified clinical resources to review boundaries,

…to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to

…coordination of psychosocial wrap around services to promote effective utilization of available resources and optimal, cost-effective outcomes. **Position