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UTILIZATION REVIEW SUPERVISOR
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Responsibilities:
- Review inpatient and observation admissions.
- Evaluate documentation and patient data.
- Reassess patients throughout their stay.
Collaboration:
- Collaborate with the physician UM Advisor, case management team, and insurance partners.
- Communicate with providers, nurses, and other stakeholders.
- Assist with scheduling peer-to-peer physician reviews.
Process Improvement:
- Identify and address any issues that could delay reviews or affect compliance.
- Utilize electronic medical records efficiently.
- Participate in development, implementation, teaching, evaluation, and revision of departmental standards
Logan Health
Logan Health aims to deliver quality, compassionate care for all, reimagining health care through connection, service and innovation. They value kindness, collaboration, trust, and strive for excellence in a supportive, mission-driven nursing culture.