Utilization Review Registered Nurse
Capital Health(3 months ago)
About this role
The Utilization Review Nurse at Capital Health performs chart reviews to assess the quality and appropriateness of patient care, conducts admission reviews for various beneficiary programs, and collaborates with medical staff to resolve care progression issues. This role emphasizes regulatory compliance, cost-effective care processes, and continuous improvement in patient management and resource utilization.
Required Skills
- Utilization Review
- Clinical Nursing
- Quality Management
- Patient Care
Qualifications
- Associate's Degree in Nursing
- Registered Nurse - NJ
- CPHQ
- CCM
- CPUR
About Capital Health
capitalhealth.orgCapital Health is the region's leader in providing progressive, quality patient care with exceptional physicians, nurses, and staff, as well as advanced technology.
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