Primary Information, Tools and Systems Used:• Patient data – hospital admission, discharge, transfer system• Healthcare staff documentation related to patient care• Regulatory and payor requirements• Allscripts Care Management System• McKesson Care Enhance Review Manager (CERMe) InterQual system• Crimson• Clinical data interface and secure faxing• Patient Medical Record including Cerner and HPF• Hospital Specific Clinical Software• Enterprise Reporting: Decision Support reports, PMI reports• Care Discovery• Position Control Communication Skills: Ability to effectively communicate in writing and orally with all levels of the organization This position will oversee utilization performance improvement and operational management of the Case Management Departments in order to promote effective utilization of hospital resources, ensure processes, support appropriate reimbursement for services rendered, support efficient patient throughput, and ensure compliance with all state and federal regulations related to case management services.