position to all audiences Performs other duties as assigned Position: UM Outpatient Clinical Review Nurse /Utilization... level of care, using applicable coverage documents and clinical guidelines Collects, documents, and maintains review...
Utilization Review/Appeals & Denials RN performs utilization review with payers, assists the physician with level of care... determinations using screening criteria, and assists the physician, bedside Registered Nurse, ICC and Social Worker with utilization...