Utilization Review Nurse
2 days ago
Albany Medical Center is seeking a skilled Utilization Review Nurse to join our team. As a Utilization Review Nurse, you will be responsible for reviewing patient admissions and continued stays to ensure that they meet medical necessity and are in compliance with regulatory requirements.
Key Responsibilities:
- Conduct thorough reviews of patient admissions and continued stays to determine medical necessity and compliance with regulatory requirements.
- Communicate with healthcare providers and payers to resolve issues and ensure accurate and timely payment.
- Collaborate with the healthcare team to develop and implement care plans that meet the needs of patients and ensure optimal outcomes.
- Stay up-to-date with changing regulatory requirements and industry standards to ensure compliance and best practices.
Requirements:
- Registered Nurse with a New York State current license.
- Minimum of three years clinical experience in an assigned service.
- Recent experience in case management, utilization management and/or discharge planning/home care in a high volume, acute care hospital preferred.
- Case Management certification preferred.
What We Offer:
- A competitive salary and benefits package.
- A dynamic and supportive work environment.
- Opportunities for professional growth and development.
Albany Medical Center is an equal opportunity employer and welcomes applications from diverse candidates. If you are a motivated and detail-oriented individual who is passionate about delivering high-quality patient care, we encourage you to apply for this exciting opportunity.
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