…+ Provides telephone, clerical, and data entry support for the Care Review team. + Provides computer entries of authorization request/provider inquiries, such as

…responsibilities include coordinating all facets of a patient's admission/discharge; performing utilization review activities, including review of patient

…of hospitalization, LOC status, LOS management, continued stay decisions, clinical review of patients, utilization review activities, resource

Position Summary: This is an integrated Case Management and Utilization Review position. The Acute Care Case Manager utilizes industry accepted processes for

…contracted vendors. + Responsible for the coordination and support of the AHS Utilization Review Committee. + Responsible of overseeing patient, physician and

…(5) years of experience in an acute care setting with strong care management, utilization review , and payer knowledge. A Case Management certification or obtain

…measures including sentinel event review + Actively participant of the Utilization Review process and follow proper procedures. + Follows standard

…resources as applicable. + Abides by all applicable regulations with regard to Utilization Review and Quality Improvement directives including, but not limited

…preferred. + 2 or more years of clinical experience preferred. + Knowledge of Utilization Review , DRG review , and Discharge Planning preferred. For 150

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