…You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What qualifications you

…and dehydration. + Participating in Wound Rounds, Operations Meetings, Utilization Review , and Performance Improvement/Risk Management/Safety (PI/RM/S)

…ensure effective care coordination + At the direction of the Medical Director, review outcomes and utilization data, including hospitalizations, and use of

…before working independently. Managed Care and Clinical Design: + Understand utilization management and support the organization's clinical review activities.

…quality patient care considering age specific, developmental, and cultural needs. + Review patient charts and radiological history to determine proper protocol. +

…and profitability for the organization. + Co-leads client meetings to review Fairview Specialty Pharmacy's programs and performance results using comprehensive

…all facets of a patient's admission/discharge or outpatient visit/follow-up; performing utilization review activities, including review of patient

…to their practice. 13. Performs other duties as assigned, including utilization review as necessary. **Qualifications** **Education and Experience** Required

…and other medical centers and agencies who serve as referral sources including utilization review and managed care companies. This position requires providing

**Employment Type:** Full time **Shift:** Day Shift **Description:** The RN Utilization Management Nurse Coordinator is responsible for both concurrent and