SantaFeRecruiter Since 2001
the smart solution for Santa Fe jobs

Utilization Review Coordinator Case Management PT/

Company: CHRISTUS Health
Location: Santa Fe
Posted on: August 3, 2022

Job Description:

Registered Nurse uses approved screening criteria (Milliman -/Interqual -/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in management of inpatient observation patients. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third party payors. Follows UM policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.

Keywords: CHRISTUS Health, Santa Fe , Utilization Review Coordinator Case Management PT/, Executive , Santa Fe, New Mexico

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category

Log In or Create An Account

Get the latest New Mexico jobs by following @recnetNM on Twitter!

Santa Fe RSS job feeds