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

…through the integrating and functions of point of entry case management, utilization review , and effective patient flow activities. **Responsibilities:** 1.

…consistent with ethical standards of practice in the field Participates in the Utilization Review Process Collaborates with outside agencies, such as CPS/DSS

…and submit to State Health Services Director and Assigned Director, Clinical Practice* Review utilization report at least monthly to ensure adequate hours on

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

…coordinated care delivery model. Coordinates] with the patient care team to review clinic [appointment availability] ( utilization ) to ensure that clinic

…operative and post-operative data components for the program through the effective utilization of the hospital medical records system. + Demonstrates appropriate

…planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient

…of specialty practice. 5. Participates in APRN interviewing, credentialing, and peer review process as requested. 6. Participates in a minimum of one professional

…by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities In addition to observance of Federal