…and referral needs. Per referral guidelines, provide appropriate clinical information to Utilization Review Nurses. + Makes outbound calls to obtains supporting

…+ Knowledge of computer technology, quality assurance activities, DRG, Quality Insights/ Utilization review background is highly preferred. + Ability to

…as required. 2. Ensures effective program participation in VAMC quality assurance and utilization review workload data capture and CPRS documentation by staff

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

…supervision and training of pharmacy technician personnel + Participate in drug utilization review + Assist with quality improvement initiatives, inventory, and

…practice. + As applicable to assigned area(s): performs the duties of Utilization Review , precertification, concurrent reviews, and retro reviews; completes data

…contracts, and on other classifications of patients as designated by the Utilization /Case Management Review Plan. Coordinates patient care, in conjunction with

…participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.) + Completes

…and cost effectiveness through the functions and integration of case management, utilization review and management and discharge planning. Requires critical

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