About The Position

Utilization review nurse is responsible for the day to day coordination of admission criteria as it relates to healthcare needs of the patient and organization. Including knowledge of regulatory and compliance with Medicare, Medicaid and other insurance payors. This team member will communicate with a variety of clinical discipline, commercial payers, patient access, patient financial services, physician advisor and other staff members.

Responsibilities

  • day to day coordination of admission criteria
  • knowledge of regulatory and compliance with Medicare, Medicaid and other insurance payors
  • communicate with a variety of clinical discipline, commercial payers, patient access, patient financial services, physician advisor and other staff members
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