reviews as directed in the hospital's Utilization Review Plan and review of medical records to ensure criteria for admission... utilization review processes and participates in the resolution of retrospective reimbursement issues, including appeals, third...
with the admitting/attending physician, the Utilization Review RN assists in determining the appropriate admission status based... to support the level of care being billed. Conducts concurrent reviews as directed in the hospitalâs Utilization Review Plan...
of Case Manager and Utilization Review Nurse Job Description: The Inpatient Registered Nurse (RN) Case Manager... for Hospital at Home Care Transitions coordinates utilization review, discharge planning and monitors quality assurance for Lahey...
of Case Manager and Utilization Review Nurse Onsite at Lahey Hospital and Medical Center in Burlington Hospital at Home... Nurse (RN) Case Manager for Hospital at Home Care Transitions coordinates utilization review, discharge planning...