Job Seekers, Welcome to CCMC Career Center
Search Filters
Use this area to filter your search results. Each filter option allows for multiple selections.
Benefis Health System
Great Falls, Montana
NEW! NEW!
NEW! NEW!
NEW! NEW!
Northeast Georgia Health System
Gainesville, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Northeast Georgia Health System
Braselton, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Northeast Georgia Health System
Gainesville, Georgia
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Spokane, Washington
NEW! NEW!
NEW! NEW!
Veterans Affairs, Veterans Health Administration
Togus, Maine
NEW! NEW!
NEW! NEW!
NEW! NEW!
NEW! NEW!
Atlantic Health System
Morristown, New Jersey
NEW! NEW!
Loading... Please wait.
Utilization Review Coordinator / Case Management / PRN
DescriptionPOSITION SUMMARY: Registered Nurse uses approved screening criteria (MCG®/CMS Inpatient List) to determine the medical necessity of a requested hospitalization and the appropriate level of care for that patient. Actively involved in the continued management of patient status/LOC. Provides consultative role as utilization management nurse to clinical and non-clinical departments. Documents objective findings against approved indicators. Assists with retrospective reviews and medical necessity denials per communication with third party payors. Follows UR policies and procedures and assists with continually improving the quality and effectiveness of the utilization management program at CSVRMC.Requirements
Loading. Please wait.