…clinical rounds and monthly audit of charts on care management activities ( utilization review , discharge planning and Interrater Reliability). -Prepares cost

…literate, working knowledge of Microsoft applications ex. Word ,Excel Preferred: + Utilization review and discharge planning experience + Case Management

…skills * Typing and computer knowledge- able to type 35WPM * Knowledge of utilization review requirements and procedures * Knowledge of current health care

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

…professional/practice development. + Completes employee evaluations within the month of review date. Standard III. Education The Unit Director acquires and maintains

…and evaluation of all studies will be provided to interpreting physician for review . Will fulfill responsibility to HUP by adherence to hospital and department

…direct care as primary nurse, oversees/coordinates total quality care. Monitors utilization and outcomes. Provides input on budget issues affecting efficient care

…Medical Officer in the execution of strategic clinical initiatives + Participate in utilization review studies, evaluate adverse trends; and collaborate with CMO

…and English **Preferred Qualifications** + Crisis intervention skills preferred Managed care/ utilization review experience preferred + Case management and

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