Job Title: Review Nurse Job Description The Review Nurse will be responsible for reviewing approximately 20 cases... in utilization management, concurrent review, prior authorization, utilization review, case management, and discharge planning...
Description Summary: The Utilization Management Nurse II is responsible for determining the clinical... appropriateness of care provided to patients and ensuring proper hospital resource utilization of services. This Nurse is responsible...
and hospital administration. Actively participates in concurrent case review to assure that evidence based best practices...: Graduate of an accredited school of nursing for Registered Nurse PREFERRED EDUCATION: Bachelor of Science in Nursing...
the provider using concurrent query process following ACDIS/AHIMA Guidelines for Compliant Query Writing. Completes.... Currently licensed or licensed by endorsement as a Registered Nurse, MD or MD equivalent OR Credentialed Medical Coder through...