…for Case Management. * Determines appropriate care level and resource utilization for complex cases. * Facilitates discharge planning and evaluates alternative

…the safe movement of patients through the continuum of care, ensures optimal utilization of resources, service delivery and compliance with external review

…Completes all necessary documentation as outlined by departmental policy and documentation review . This includes, but is not limited to, patient care charting,

…and quality. Assists with budget development. Assures plans are executed for constant review /revision of the pharmacy information systems to meet the needs of the

…hospital team, PCP, home care agencies, etc.; work with interdisciplinary team to review cases and risk stratify inpatients to act upon any identified issues while

…will determine the efficacy of therapeutic interventions, technologies and outcomes and the utilization of COTA's, students and support personnel. + You will work as

…include the following tasks: organize work schedules and delegate work assignments; review and edit time cards for accuracy; conduct quality assurance audits;

…at Hackensack Meridian _Health_ includes: + Follows departmental workflows for utilization review activities including admission reviews, admission denials,

…hospital experience in ICU, Medical, or ER unit. _Previous experience with Emergency Room Utilization Management / Utilization Review is preferred for this

…+ Experience with managed care. + Experience and current knowledge of Quality Assurance, Utilization Review and Peer Review systems and programs. + At