…+ Coordinates with other departments, ie: Pre-Admissions, Admissions, Patient Accounts, Utilization Review , PPS Coordinator, etc., to assure positive fiscal

…hospitalization reports, family, and team meetings. + Develops and participates in the Utilization Review of medical services provided by CLHC/DTC. + Develops

…therapy from an accredited or approved school.* Two years of experience in health care utilization review or home care.* Two years prior home health or hospice

…a current RN License may take Doctor's orders. 4. Conducts initial utilization review by obtaining treatment authorizations as appropriate with representatives

…ongoing input and feedback for patient re-assessment. + Coordinates with the Utilization Review /Discharge Planning Department to provide for patient's timely

…a current RN License may take Doctor's orders. 4. Conducts initial utilization review by obtaining treatment authorizations as appropriate with representatives

…+ Employee Payroll - Review , edit, approve all timecards bi-weekly; review overtime utilization and manage appropriately, manage employee and physician

…in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to

…accurate record-keeping for all clinical services, documents, assessments, progress, and activity; review records and logs to stay abreast of changes in service

…functions: Pediatric Population Health case management/disease management/care transitions; utilization management (Position oversees PA authorizations and manages