Responsible for timely and accurate certification of hospital admission* Provides required information to payors* Monitor and evaluate patient/clients ongoing plan of care and facilitates modification utilizing established screening criteria to determine level of care with documentation in the computerized Utilization Management module* Serves as the Subject Matter Expert (SME) for Utilization Review, MCG, and WQ management in Epic* Assists in training and orientation of new staff members* Manages the daily work schedule for staff* Monitor and evaluate the appropriateness of managed care denials and collaborate with attending physician and managed care representative and Medical Director.* Monitor for compliance of Medicare/Medicaid regulations (e.g. Daily monitoring and coaching of staff productivity and denial ratios, reports for daily volumewithout medical reviews completed, management of Epic WQs, peer to peer outcomes, E.H.Ruse with outcomes, avoidable days documentation and reporting, and barriers impactingutilization management workflowSupervise, coach, mentor on general practice.