UNIT DETAILS: Ability to assess, evaluate and drive discharge plan. Coordinate services to the patient's appropriate level of care. Ensure that treatment plan is initiated, evaluated and re-evaluated daily. Follow the progress and lack thereof daily. Monitor length of stay and identify barriers to discharge. Follow Medicare regulatory guidelines regarding patient choice, IMM notices and MOONS.
Acute Hospital
Long Term Acute Care/Rehab/Skilled Nursing
Case Management/Utilization Review
Admission Criteria
Care coordination
Discharge Planning
Utilize InterQual Criteria
Utilize Milliman Guidelines
Utilization Review
Admission Criteria
Appeals and Denials
Concurrent Review
Continued Stay Reviews
Medical Necessity
Retrospective Review
Utilize InterQual Criteria
Utilize Milliman Guidelines
