Registered Nurse - Case Manager/Utilization Review - SUNYWNYRN Job at NavitsPartners, Alexander, NY

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  • NavitsPartners
  • Alexander, NY

Job Description

Registered Nurse – Case Manager/Utilization Review

Qualifications:

  • Current New York State Registration.
  • Certified in BLS and able to be recertified.
  • Minimum of two years of experience in case management, utilization review, or a hospital setting.
  • Experience with EPIC Electronic Medical Records preferred.
  • Strong knowledge of medical coding, insurance review, and hospital reimbursement processes.

Duties:

  • Reviews patient cases for appropriate hospital admissions and continued stay requirements.
  • Ensures efficient resource utilization and adherence to medical necessity criteria.
  • Communicates with insurance providers for authorization and reimbursement.
  • Coordinates discharge planning and transitions of care.
  • Maintains documentation in compliance with regulatory guidelines.

Pay: Medium weekly pay range: $2,500 - $3,200 per week

Job Tags

Weekly pay,

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