…patient's treatment. Works well with the interdisciplinary team including physicians, utilization review and nursing staff members. Demonstrates active

…caring for adults in an acute care hospital setting is required; coding and utilization review experience preferred + For Medical School graduate - One year

…Swing Bed, Acute, and Emergency Department Patients. Responsible for discharge planning, utilization review , team conferences and unit-based rounds. Acts as a

…fosters an environment that encourages professional growth. Initiates weekend case management, Utilization review screening, assists with D/C planning and swing

…audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the

…works with physician practices and inpatient teams to promote the effective utilization of services and coordination of care for adult, geriatric, neonate, pediatric

…forwards to departmental chairpersons, Medical Staff committees, and to the board for review and action. * Coordinates tracks and monitors flow of information to

…as appropriate. Participates in budget preparation for cost centers. Assures economical utilization of time, materials and resources through review of workflow

…providers, with emphasis on driving clinical policy alignment through increased utilization of technology platforms * Educate market providers on the benefits

…and timely completion of Medicare and Managed Care regulatory guidelines. + Review Additional Documentation Requests (ADRs) to ensure all documents meet the request.