Conduct remote utilization reviews of medical records to determine the appropriateness and necessity of healthcare services.
September 08, 2023
Provide education and support to healthcare providers and staff regarding utilization review processes and requirements.
September 27, 2023
Communicate with healthcare providers to gather additional information and clarify documentation related to patient care.
September 29, 2023
Participate in quality improvement initiatives and contribute to the development of utilization review processes and protocols.
September 30, 2023
Utilize clinical guidelines and criteria to make recommendations for appropriate levels of care and treatment plans.
October 16, 2023
Collaborate with other members of the healthcare team to ensure that patients receive high-quality and cost-effective care.
October 27, 2023
Evaluate the medical necessity and efficiency of healthcare services and treatments provided to patients.
October 28, 2023
Document findings and recommendations in a clear and concise manner.
October 29, 2023
Stay current with industry standards and best practices related to utilization review and case management.
October 30, 2023
Adhere to regulatory and accreditation standards related to utilization review and case management.
November 12, 2023