…principal liaison between emergency services, surgical services, nursing, finance, physicians, utilization review and medical records to ensure appropriate

…+ 1 year of clinical and/or related experience required. Case Management, Utilization Review and/or Prior Authorization experience is preferred. +

…clients, brokers and other key stakeholders. + As Clinical Advisor, supports client utilization review and strategy meetings, providing medical cost trend, large

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

…meaningful contributions to the rehab team conferences, patient care conferences, utilization review meetings, family conferences, and caregiver training

…with all admission related staff ensuring expediency of client admission including Utilization Review , Nursing, Admission Specialists and staff in related

…+ At least 3 years previous experience in health care, care coordination, utilization review , discharge planning or similar healthcare setting. + Experience

…years RN experience in an acute care setting; Leadership experience preferred; Utilization review , discharge planning or case management experience preferred.

…inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and reports in

…effective outcomes and to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of service