Provides leadership and supervision for a specific area of responsibility. Conducts pre-admission screening review on proposed patient admissions. Maintains direct liaison, including professional consultation and dissemination of information, with patients and their families. Applies new rules and procedures to the review process. Interfaces between physician and the PRO in interpreting denials and assisting with the appeal, if necessary.
Assists supervisor with accommodating changes in federal, state, and other regulations.
Performs and assists with functional supervisory duties. Exhibits deportment expected of a Quality Assurance Support Service professional staff member. Knowledge of the availability of community health agencies and resources and how they may be contacted and utilized to provide continued care of discharge patients is desirable. This description is intended to indicate the kinds of tasks and levels of work difficulty that will be required of positions that will be given this title and shall not be construed as declaring what the specific duties and responsibilities of any particular position shall be. It is not intended to limit or in any way modify the right of any supervisor to assign, direct, and control the work of employees under his or her supervision.