Registered Nurse RN - Utilization Review - Sat / Sun 10 hour shifts - Training on weekdays - Hybrid
Northeast Georgia Health System(22 days ago)
About this role
The Utilization Review Nurse at Northeast Georgia Health System ensures patients are placed in the appropriate status and level of care by applying utilization management and medical necessity criteria. The role supports clinical documentation quality, collaborates with physicians and case managers, and coordinates with payors to secure authorizations and coverage decisions. This position operates within the nursing department in an acute care hospital setting.
Required Skills
- Utilization Review
- Case Management
- Medical Necessity
- Clinical Documentation
- Authorization
- InterQual
- DRG Knowledge
- EMR
- Communication
- Critical Care
Qualifications
- RN License - Georgia
- CCM
- ACM
About Northeast Georgia Health System
nghscareers.comNortheast Georgia Health System (NGHS) is dedicated to improving the health and quality of life of the people of Northeast Georgia.
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