Care and Utilization Review Nurse Coordinator Jobs

The Care and Utilization Review Nurse Coordinator ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Coordinates utilization reviews of managed care contracts using established guidelines and processes. Being a Care and Utilization Review Nurse Coordinator maintains managed care contracts and information databases and prepares reports. Communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. In addition, Care and Utilization Review Nurse Coord ... inator typically requires an associate's degree of Nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). Being a Care and Utilization Review Nurse Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. Working as a Care and Utilization Review Nurse Coordinator typically requires 5-7 years of related experience. More
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