PURPOSE STATEMENT: Provide administrative support to the Utilization department. ESSENTIAL FUNCTIONS: * Perform pre-certification and negotiate continued stay with third party payers. * Gather data to support case management activities, including presentation of gathered data and case notes. * Coordinate discharge planning with clinical team, maintain CRM database with discharge information and follow up. * Present case information and the needs of third-party payers to (?). * Assist in admissions review, concurrent reviews and discharge planning. * Assist physician in peer review by serving as information resource, gather data to support review and schedule peer review. * Informs management about the status of current patients; documents utilization activities as instructed. Participates in performance improvement activities. OTHER FUNCTIONS: * Perform other functions and tasks as assigned. EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: * High school diploma or equivalent required. LICE...