of Utilization Review (UR) and discharge planning Strong interpersonal and communication skills and the ability to work effectively... a related clinical field preferred A valid, active Registered Nurse (RN) license in State of employment...
. 2 years of utilization review (UR) experience Must live within one hour of the BJC Learning Institute in St. Louis... and quality care. Evaluate the cost and quality of medical services provided by the medical team. Ensure appropriate utilization...
review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion... for the QA/PI activities. Works with Utilization Review staff relative to data tracking for performance review and outcomes...
continuum of care and ensures optimum utilization of resources, service delivery and compliance with external review agencies... of care and cost effectiveness through the integration of functions of case management, utilization review and management...