Utilization Review RN

Purpose:

Performs the four key functions of case management: Utilization review, Resource management, Managing thecontinuum of care, and Clinical documentation management. Responsible for facilitating appropriate length of stay andreimbursement for all hospital admissions. Promotes quality care through collaboration with all team members.

Responsibilities:

• Utilization ReviewManages consumption of resources ensuring services are patient focused, high quality, efficient and costeffective.Managing the Continuum of Care through assessment of clinical needs and discharge planning.Performs other related duties as assigned