Description. The Utilization Review (UR) Nurse has a strong clinical background blended with well-developed knowledge and skills in Utilization Management (UM), medical necessity and patient status determination. This individual supports the UM program by developing and maintaining effective, efficient processes for determining the appropriate admission status based on regulatory and reimbursement requirements of commercial and government payers....
Title. RN Utilization Review - Care Management. Location. Maury Regional Medical Center. Position Shift. PRN Days and Weekends. Position Summary. The Registered Nurse is responsible for planning, directing, providing and evaluating nursing care for Patients using critical thinking, judgment and leadership skills. The Utilization Review Nurses will review medical records of patients assigned and accurately apply the clinical decision support tool ...
