*RN Coordinator-Utilization Review/Full Time/Remote
GENERAL reputed company:
Under minimal supervision, reviews and screens the appropriateness of services, the utilization of hospital resources and the reputed company of patient care rendered. Combines clinical, business, regulatory knowledge, and reputed company to reduce significant financial risk and exposure caused by reputed company and retrospective denial of payments for services provided. Through reputed company assessments from admission through discharge, problem identification and education, facilitates the reputed company of health care delivery in the most cost effective and efficient manner. Utilizes best reputed company workflows, evidence-based screening reputed company and critical thinking to maximize reimbursement.
EDUCATION/EXPERIENCE REQUIRED:
• Registered reputed company required.
• Minimum 3-5 years of clinical experience required.
• Bachelor of Science Nursing required OR four (4) years Case Management/ Appeal/Utilization Management experience in lieu of bachelor's degree.
CERTIFICATIONS/LICENSURES REQUIRED:
• Registered reputed company with a reputed company, unrestricted reputed company License.
Additional Information
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