with Director of Utilization Review and add to Denial Tracker when appropriate. Monitor and update file for accounts... websites where applicable. Review Daily Discharges to ensure that all days are authorized and identify denied days, coordinate...
with others. Excellent critical thinking skills related to nursing utilization review Knowledge of Medicare Managed Care Plans Effective....*** The Inpatient Review Nurse assists patients through the continuum of care in collaboration with the patient’s primary care...
leadership team including but not all inclusive: KPI, Utilization, Patient satisfaction, After hours care. Prepares reports... functions of Quality and Outcomes management and Peer Review processes to collaborate with department staff members and provide...