The Utilization Review Coordinator conducts utilization reviews to determine if patients are receiving care appropriate to illness or condition. Monitors

…to seven years of leadership experience in care coordination, case management, or utilization review , in an integrated healthcare delivery system and/or health

…business and practice issues. + A strong knowledge of Quality Assurance (QA) and Utilization Review (UR). + A contemporary clinician who understands major trends

…preferred. Minimum Experience: Two years related in acute care facility and/or utilization review training. Minimum Experience: Varied clinical experience or

…plans, implements, and evaluates the needs of patients for discharge planning and utilization review . This includes those who may have Medicare, Medicaid, HMO,

…manager. . Assists Utilization Managers with all aspects of utilization review /discharge planning/performance improvement processes. . Functions as liaison

…improvement committee. + Closely monitor all potential catastrophic events and perform utilization review and tracking. + Submit and implement recommendations

…improvement committee. 7. Closely monitor all potential catastrophic events and perform utilization review and tracking. 8. Submit and implement recommendations

…responsible for the coordination of the hospital-wide functions of Case Management, Utilization Review and Discharge Planning. Oversees and coordinates the

…area of billing and coding, medical records, quality assurance, or utilization review .** **Professional Certification(s):** **.** **Medical Technology or Health