criteria sets for admission reviews, continued stay reviews, outlier reviews, and clinical appropriateness recommendations...
, and issuance of hospital-issued notices of non-coverage;Co-chairs the Utilization Management Committee and related outlier review...
executive team, external stakeholders, and public policy experts to enhance Scale AI and Outlier's reputation as a leader...
management leaders for challenging, high conflict or outlier case circumstances. Collaborates with stakeholders across the care...
discharge plans for patients to meet their needs for post-acute care services, avoid outlier days, reduce the length of stay...
and implement discharge plans for patients to meet their needs for post-acute care services, avoid outlier days, reduce the length...
to determine outlier days, approved days, etc., and releases accounts as appropriate. 7. Checks admission and discharge dates. 8...
and progress including admission, continued stay, and discharge criteria. Chairs weekly Interdisciplinary Outlier Committee...
outcomes and intervenes in outlier cases Maintains clinical proficiencies in patient care and EMR/PM systems to support the...
incomplete, outlier and incorrect data Create visual representations of data findings through charts, graphs, and dashboards...