The purpose of this position is to proactively monitor the utilization of services for patients to optimize reimbursement for the facility. The role involves acting as a liaison between managed care organizations and the facility's professional clinical staff, conducting reviews in accordance with certification requirements, and coordinating communication regarding reimbursement requirements. The position also entails monitoring patient length of stay, gathering statistical and narrative information for reporting, conducting quality reviews, facilitating peer review calls, and assisting with the formal appeal process for denied admissions or continued stays.