Utilization Review Coordinator Case Management FT/40 HRS
Company: Christus Health
Location: Santa Fe
Posted on: October 14, 2021
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 FT/40 HRS, Other , Santa Fe, New Mexico
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