RN Case Manager PRN

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

HCA Healthcare Brigham City, UT

Company
HCA Healthcare
Job Classification
Part Time
Company Ref #
00079-32681
Location
Brigham City, UT
Experience
Mid-Career (2 - 15 years)
Job Type
Regular
AJE Ref #
576162297

JOB DESCRIPTION

Job Code: 00079-32681

PRN/Per Diem

PRN

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