offer. Responsibilities Manage effective utilization review processes, including management of patient statusing processes and monitoring... programs and key performance indicators for all utilization review activities. Interact with medical, nursing, and executive...
Description : General Summary: Under general supervision, provides day-to-day leadership of the utilization review... training of newly hired Utilization Review Coordinators, coordinates work assignments, and provides effective liaison...
but not limited to: Access Authorization and pre-certification, utilization review and denial management, Care Coordination... of utilization criteria, appeal and review process, and case management system documentation. Develop staff schedule and revises...