Registered Nurse -Utilization Management Per Diem
Loyola Medicine(1 month ago)
About this role
The Registered Nurse Utilization Review / Clinical Care Manager oversees the utilization review process and manages patient progression from admission to discharge. This role serves as the principal liaison among emergency services, nursing, physicians, finance, and medical records, and supports safe, appropriate discharge planning. The position participates in cross-disciplinary collaboration and applies knowledge of healthcare economics and reimbursement methodologies.
Required Skills
- Utilization Review
- Case Review
- Interqual
- MCG
- Discharge Planning
- Care Coordination
- Clinical Assessment
- Medicare Guidelines
- SNAP Huddles
- Patient Progression
+1 more
Qualifications
- Graduation from Accredited Nursing School
- RN License (New York)
- Bachelor's Degree Preferred
- Specialty Credentialing Preferred
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