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RN Case Manager PRN

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POST DATE 9/13/2016
END DATE 1/20/2017

HCA Healthcare Brigham City, UT

Brigham City, UT
AJE Ref #
Job Classification
Part Time
Job Type
Company Ref #
Mid-Career (2 - 15 years)


Job Code: 00079-32681

PRN/Per Diem


Position is responsible for reviewing patient case loads for admission appropriateness and continued stay necessity from a clinical and reimbursement standpoint, ensuring appropriate billing status and insurance approvals. Assists staff with compliance to federal, state and accreditation regulations.

* Ensures admission appropriateness for patient case loads from a clinical and insurance standpoint for reimbursement purposes, obtains insurance continued authorization.

* Monitors patient care needs and available hospital services to avoid under and over utilization of resources.

* Contacts physicians as needed to review patients with questionable lengths of stay or other inappropriate admissions information.

* Requires a RN registered in the State of Utah with five years of medical and surgical nursing experience.

Last Edited: 08/31/2016