RN IP Concurrent Review

• Identifying inpatient, observation, acute rehabilitation, skilled nursing facility and custodial admissions and discharges by utilizing the following processes:

• The Plan’s daily census

• The hospital’s individual Plan admission log (if available)

• Inquiring Plan admissions/discharges through the admission/ER department offices

• Direct notification by the member’s PCP or family member

• Contacting the Plan’s hospitalist program, if available