…plans to track outcomes for patients in value-based programs, including utilization , cost, efficiency, and appropriateness metrics, as well as clinical outcomes.

…health assessment. + Performance of electronic medical record (EMR) duties + Daily utilization and documentation of EMG Metrics tools to manage scheduling of Routine

…duties . Knowledge of federal and state laws and regulations relating to utilization management operations + Ability to cultivate a service-oriented culture , create

…PCPs are keeping in contact with hospitalized patients and hospitalists; facilitates review of inpatients and other high priority patients during SH, accountable for

…to medication dispensing requests, prepares medications for pharmacist final review /check, delivers checked medications, and returns unused or expired medications

…+ At least 3 years previous experience in health care, care coordination, utilization review , discharge planning or similar healthcare setting is required. +

…and other parties as appropriate regarding behavioral services . Performs utilization review as assigned . Develops department goals/objectives and

…cooperate with the County and participate in any quality audit and utilization review + Provide on-site/community based/home visits medication evaluations and

…Management or Critical Care is preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience is preferred. Applicant

…response to therapeutic interventions via collateral calls, conjoint therapy sessions, utilization review process, and/or referrals and revises care plan