…regarding case and determines appropriate area to refer or assign case ( utilization management, case management, QI, Med Review ). + Provides information

…+ Knowledge in the functional operations of third party payors and utilization review agencies to expeditiously coordinate follow-up. + Interpersonal skills

…participate in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.) + Utilize time

…2 years of critical care experience + Certification in case management or utilization review preferred + InterQual experience preferred **Schedule** Per Diem

…Experience* *Required*- Three years of nursing experience. *Preferred*- Experience in utilization review , case management, discharge planning, and clinical

…record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as

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

…management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process

…and inpatient care + Participate in rotating night and weekend call + Review outcome and utilization data, including adverse events, hospitalizations, and use

…application of strict inclusion/exclusion criteria and protocols. + Performs meticulous chart review and enters clinical data into the quality databases to identify