…mission. Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management** at Evolent will serve as a point of contact for

…care review , including the design, testing and evaluation of the review methodology. + Performs utilization and quality assessment reviews to maintain

…leadership team and is responsible for * Leadership and counsel for utilization management * Leadership and participation in case management programs for mental

…meetings when requested. * Oversight and implementation of the utilization management program for behavioral health services, including monitoring for

…quality assurance metrics and modalities are being adhered to, as well as review previously completed work of other MSTs. Reviews the current and future surgery

…to nurses, physicians and the interdisciplinary team on issues related to utilization of resources, medical necessity, CMS CoP for Discharge Planning and care

…no more than 3-5 exceptions, as measured by random supervisory chart review and/or direct supervisory observation and co-worker feedback. Analyzes assessment data to

…collaboration with other directors, determines, monitors and ensures that productivity and utilization goals are met + Maintains quality patient care and service by

…their journey to health and wellness. Essential functions include: + Clinical review , entry and modification of heme/TCT treatment plans. + Oncology order

…plan, including transfer eligibility, level of care, resource prioritization & utilization , timely acceptance, and appropriate priority and mode of transport. +