Utilization Review RN
Pih Health•Whittier, CA
13h
About The Position
Performs utilization review for ER admissions and interfacility transfers, ensuring medical necessity, appropriate level of care, and compliance with CMS, EMTALA, and regulatory guidelines while coordinating authorizations and reimbursement
Responsibilities
- Performs utilization review for ER admissions
- Performs utilization review for interfacility transfers
- Ensuring medical necessity
- Ensuring appropriate level of care
- Compliance with CMS guidelines
- Compliance with EMTALA guidelines
- Compliance with regulatory guidelines
- Coordinating authorizations
- Coordinating reimbursement
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
Education Level
No Education Listed
