Responsible for the utilization of invasive cardio vascular procedures as necessary and performs under the direct supervision of cardiologists and radiologists.

…chart documentation. 8. Incorporates use of criteria sets in context of utilization management. 9. Performs other related duties as assigned. Required: 1. Master's

…of the coding/CDI staff for ICD 10 coding. + Responsible for concurrent review process for ICD-10 coding utilization . + Responsible for specific physician

…management areas of Integrated Case Management including mentoring/coaching care coordinators, utilization review staff and social workers. + Reviews cases

…while providing excellent customer/patient service. + Plays a leadership role in utilization review committee which includes identification of opportunities for

…area, such as program evaluation, clinical risk management, standards compliance, survey readiness, utilization review , or a closely related area; or 2. Three

…2) developing/overseeing a regional length-of-stay multi-disciplinary team (eg care management, utilization review , finance, etc.); and 3) working with

…with eligible inpatients and Partial program patients and also may perform utilization review for this patient population Provides discharge planning and

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

…interpersonal skills. Requires a working knowledge of community resources and Utilization /Quality Review standards and activities conducted by third party