UM Nurse Reviewer - Providence

Only for registered members Providence, United States

1 month ago

Default job background
$73,500 - $110,300 (USD)

Job summary

Conduct pre and post payment review of inpatient admissions, outpatient services, and other procedures to assess the appropriateness and continuity of care. Apply all aspects of the medical review function, including pre-authorization, concurrent review, screening for quality-of-care issues, and discharge planning. Document rationale for medical decisions made.


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