Utilization Review
Summary
Title: | Utilization Review |
---|---|
ID: | 1404 |
Location: | Nevada, Missouri |
Department: | Quality |
Status: | PRN |
Shift: | Flex |
Description
*Base Pay Starts At: $18.00
Essential Functions:
Authorize patient stays
Submit insurance PA for hospital admission insurance.
Continued stay submissions
Discharge submission to insurance
Appeals and Peer to Peer submission
InterQual submission for medical necessity.
Discharge planning for BHU and Acute Care.
Conduct UR Committee.
CDI Management
Swing Bed intake process
All other duties within the scope of practice.
Working Conditions:
Possible exposure to inside environmental conditions.
Exposure to distressed patients, families or visitors.
Physical Demands:
Requires standing, sitting or walking for up to 8 hours or longer per day.
The ability to lift up to 50 lbs.
Qualifications:
Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar education and experience; Missouri Licensure preferred