Feb 03, 2023
Utilizing a collaborative process, the Utilization Analyst (UA) will assess, plan, monitor and evaluate all pertinent clinical, psycho-social, and medical information and criteria (Interqual) to assist in determination of the initial and concurrent plan of care for all patients presenting to CMC for intervention. The UA will ensure the utilization of appropriate and timely intervention being the steward of resources for all populations.
Conducts a thorough assessment utilizing approved criteria, protocols, pertinent information available through Plan of Care (POC), patient demographics, Interqual criteria, multidisciplinary rounds (MDRs), consultations, and payor source.
Applies approved criteria, protocols, UM acuity criteria, to monitor ongoing appropriateness of admission, level of care (LOC), and ongoing stay.
Documents assessment based on department and criteria standards.
Monitors length of stay (LOS) and ancillary resource use on an ongoing basis. Takes action to achieve...
Carilion Clinic
Roanoke, VA, USA