Inpatient UM Clinician

Inpatient Utilization Management ClinicianThe Inpatient Utilization Management Clinician is responsible for evaluating all inpatient medical treatments for medical necessity, monitoring ongoing treatment, facilitating discharge planning to ensure smooth and successful transitions of care, and collaborating with care management and medical directors to support members in achieving optimal health outcomes.Key Functions/Responsibilities:Performs utilization review activities, including concurrent, and retrospective reviews of inpatient cases applying evidenced-based InterQual® criteria and Medical Policy.Benefits:Medical, Vision, and Dental Insurance Plans401k Retirement Fund