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Utilization Review Case Manager
3 months ago
*If interested, please apply on our website at
Recognizes, interprets, documents, and communicates information necessary for quality patient care and related patient information.
Maintains confidentiality at all times to protect patients privacy and maintains Health Insurance Portability and Accountability Act (HIPAA) privacy and security regulations.
Carries out the hospital utilization review plan. Participates in daily interdisciplinary rounds. Asks clarifying questions regarding documentation, hospital course, and expected discharge plan. Provides payor information as needed to support level of care. Communicates payer resources available for discharge planning to Case Management Team.*Shift
2nd w/ every third weekend
(10:30 a.m. - 9:00 p.m.)
*Hours
80 per pay (Every two weeks)
#MEDPRIOR
Job Type:
Full-time
Benefits:
- Dental insurance
- Flexible spending account
- Health insurance
- Life insurance
- Vision insurance
Experience:
* clinical nursing or case management: 2 years (Preferred)
License/Certification:
- RN License (Required)
Work Location:
In person