Responsible to manage the patients’ progression of care, promote evidenced based protocols, assure the appropriateness of interventions and expedite care delivery for patients’ admitted to Mt. Edgecumbe Hospital. Directs patient care services to assure a timely and appropriate patients discharge.  Performs utilization review and inpatient case management at Mt. Edgecumbe Hospital in accordance with all state and federally mandated regulations.

Under general supervision, provides professional assessment, planning, coordination, and implementation, of the functions for Coordination of Care (CC) and Utilization and Management (UM). Oversees collection and reporting of data to support the CC and UM programs and the operations of Mt. Edgecumbe Hospital. This position maintains compliance with regulations affecting utilization management and continuum of care. The job functions directly impact the revenue cycle. The position will work collaboratively with the nursing leadership team, the patients care team, and physicians to develop, implement and evaluate individualized patient treatment plans and ensure that patients receive medically appropriate services. Responsible for promoting quality care that encourages appropriate use of available resource during all phases and location of care.