Develops and Implements a process by which all admissions are reviewed by screening criteria, such as InterQual. Works closely with the medical directors of care management and transfer center to assure admissions meet medical necessity. Must have the ability to know and implement alternative plans to admission when admission is not warranted, including outpatient appointments and skilled stays. Must have an excellent understanding of discharge planning and community resources. Must understand utilization review and be comfortable issuing admission denials. Excellent communication skills are necessary to be able to speak with leadership, physicians, care managers, transfer center and bed management staff, etc. Understands and operates underneath the Care Management philosophy. Is able to conduct QA and implement such. Is self- motivated, self-directed and autonomous.

Company Info

Company Name
EMHS

Company URL
https://careers.emhs.org/

Contact Name
Jean Nowak

Email
jgnowak@emhs.org

Phone
207-973-7100

Location

Eastern Maine Medical Center
489 State St
Bangor, ME 04401