Demonstrate ability to respect and maintain the confidentiality of all sensitive documents, records, discussions, and other information generated in connection with activities conducted in, or related to, patient healthcare, business or employee information and make no disclosure of such information except as required in the conduct of business. What You Will Do: Conduct timely utilization review and medical necessity determinations for inpatient admissions, continued stays, concurrent review, and post-acute care settings (e.g., SNF, IRF, LTACH, home health) for Medicare Advantage members.