Sr. Manager, Utilization Management – Hospital
Sr. Manager, Utilization Management – Hospital – FTThe Manager, Hospital Based Utilization Management directs manages utilization, transitions D/C planning activities programs as organized by the UM department medical center directly associated w/ utilization management of medical services provided to KP members. Essential Functions: – Departmental Operational Oversight – Provides leadership consults w/ other members of the health care team ondifficult discharge cases. – Directs staff review of the UM related aspects of treatment discharge plans to ensure high quality cost-effective discharge Read more […]
Patient Care Coordinator
Patient Care Coordinator – FTThe Patient Care Coordinator is responsible for utilization review, discharge planning transitions in care, in collaboration w/ MAPMG rounder in acute or alternative settings of care. Essential Functions: – Utilization Review. According to department policy, procedure protocols, consistently apply verbally communicate approved utilization review criteria guidelines for services delivered in acute or alternative care settings. – Eligibility Benefit Verification. Confirm eligibility status ensure the appropriate administration of benefits in accordance w/ department Read more […]