Portal of Entry - Hartford

Only for registered members Hartford, United States

1 month ago

Default job background
Full time

Job summary

The Portal of Entry Utilization Management Nurse has strong clinical skills and a well-developed knowledge of utilization management. They support the Care Management program by determining defensible hospitalization status based on regulatory and reimbursement requirements.

Responsibilities

  • Maintains current and accurate knowledge regarding commercial and government payers including regulatory requirements.
  • Serves as a resource to all members of the health care team on defensible patient status.

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