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RN Utilization Review

Riverside Healthcare


Location:
Norfolk, VA
Date:
05/26/2017
Job Code:
112235
Categories:
  • Healthcare/Medical
Riverside Healthcare
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Job Details

RN UR REVIEW at Riverside
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RN Utilization Review

Nursing

RIVERSIDE HOSPITAL SERVICES

CARE MGMT-UTILIZATION MGMT

Full Time

Day shift M-F, Rotating Weekends

Works under the supervision of the Care Management Leadership and is responsible for: ensuring cost-effective patient care services are being delivered; for monitoring and reviewing the documentation for medical necessity for admission and continued stay; and communicating with payers to ensure authorization for services is obtained for appropriate reimbursement. Works under the direction of the leadership team to provide a comprehensive range of utilization review services associated with and in accordance with standards of excellence and standards of the UR Plan established by Riverside Health System, facility goals and strategic plans.

Hours: Day Shift, M-F, Rotating Weekends

Certification/Licensure Requirements: Licensed or eligible for license by the state of Virginia as RN

Experience Requirements: Three or more year's specific clinical experience. Related experience or basic understanding of utilization review.

 

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