…in facility meetings as directed by Center Manager (may include utilization review , infection control, disaster preparedness, etc.). Completes sufficient

…located within hospital + Ability to pass annual Inter-rater reliability test for Utilization Review product(s) used. Preferred + Bachelor's Degree in Nursing

…data and evaluates medication events, adverse drug reactions, quality assurance and drug utilization review . + Demonstrates the ability to access, enter and

…time **Shift:** Day Shift **Description:** Position Title: RN, Care Coordination- Utilization Review Department: Care Coordination Purpose: Concurrently and

…or regulation, must be in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US

…transfers from Avera facilities as Swing Bed transfers. + Supports compliance with Utilization Review Process. Case Manager will have ongoing conversation with

…with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk

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

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other

…as needed by the Pharmacy Department and applicable accreditations such as Utilization Review Accreditation Commission, Joint Commission, NIOSH, OSHA, or other