Monitors adherence to the hospital's utilization review plan to ensure appropriate use of hospital services, hospital admissions and extended hospitals stays.

Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of all hospital admissions.

Performs concurrent reviews for patients to ensure that extended stays are medically justified and are so documented in patient's medical records.

Calculates the lengths of stay and continued-stay days for patients.

Maintains a liaison with the Case Management Department to facilitate timely discharge planning.

Minimum education

Associate’s degree required

Bachelor’s degree Preferred

Required Skills

Certifications:

Basic Life Support (BLS)

Licenses: RN

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.