RN Case Manager PRN 9/13/2016
Brigham City, UT
JOB DESCRIPTIONAPPLY Job Code: 00079-32681
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