Registered Nurse - RN Intake Coordinator
Trinity Health•Grand Rapids, MI
•Remote
About The Position
Reviews assigned cases applying specific criteria and payor guidelines and communicates this review to payors ensuring proper reimbursement for care. In collaboration with members of the health care team, conducts observation, admission, concurrent, discharge and retrospective reviews to evaluate the appropriate level of care, continued stay, and status of discharge planning.
Requirements
- Bachelor of Science in Nursing (BSN)
- Current State of Michigan Registered Nurse License
- Three years acute care as a RN
- Ability to work autonomously with little direction and be accountable for outcomes
Nice To Haves
- Two years recent acute care utilization management experience
- Experience in facility audits/appeals and processes
Responsibilities
- Perform all aspects of utilization review to ensure the medical necessity of acute care hospitalization has the existence of supportive documentation in the EMR
- Provide all external review organizations the information necessary to complete reviews and effect maximum financial reimbursement
- Collaborate with Case Management
- Provides consultation and information to physicians, case managers and other members of the health care team
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
Upload and Match Resume
What This Job Offers
Job Type
Full-time
Career Level
Mid Level
