The Physician Utilization Management Advisor (PUMA), whose mission is to provide a continuum of quality care to our veterans will apply clinical knowledge and expertise to cases that do not meet criteria and will formulate recommendations and provide them to the Non-VA Care team for optimal management of the patient. The Physician Utilization Management Advisor (PUMA) serves in both clinical and administrative roles. As a clinician in Community Care Service (CCS) the PUMA will intervene in Non-VA Care cases that do meet criteria when he/she has the ability to suggest alternatives to admission or continued stay or suggest an alternative level of care. He/she ensures the quality and timeliness of the services provided, customer satisfaction, as well as compliance with standards of accrediti
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