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Continuing Care Utilization Review Coordinator RN
Job Summary: Conducts utilization review for in-house patients and/or those members at contracted facilities. Assists in the discharge planning process.Essential Responsibilities: Conducts utilization review for in-house patients and/or members who have been admitted to contracted facilities. Interviews patients/caregivers regarding care after hospitalization.Conducts clinical reviews based on established treatment criteria.Collaborates with physicians on clinical reviews, keeps them appraised of Kaiser clinical criteria.Reviews utilization patterns, identifies trends and problems areas for special studies.Assists
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