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3 jobs found.
Utilization Reviewer - RN JobJob DescriptionJob Title: Utilization Reviewer - RNCompany Name: Piedmont HospitalEmployment Type: Full TimeLocation: ATLANTA, GA, United StatesDepartment: PATIENT CARE COORDINATIONSalary: Highly CompetitiveShift/Hours: Monday thru FridayHours/Pay Period: 80Degree Required: State LicenseJob ID: 7170-P2112-013374Date Posted: Nov 3, 2011Years Experience: 2Job Category: Professional AdministrationNote: Please read the complete description below before applying for this job.Complete DescriptionRESPONSIBLE FOR:Performing admission reviews of pre-hospitalized and hospitalized patients. Knowledgeable of federal and state hospital Utilization Review (UR) regulations. Familiar with Milliman and Robertson guidelines, and has in-depth knowledge of Interqual criteria. Works with the Admissions Department to implement procedures for compliance with these regulations.QUALIFICATIONS:Graduation from an accredited School of Nursing with current Georgia licensure. Previous hospital experience in Utilization Review.ESSENTIAL FUNCTIONS:1. Engages in activities that promote proper utilization of the Hospital and its resources.2. Obtains retroactive Medicaid certification.3. Verifies appropriateness of Direct Admit transfers.4. Verifies and processes patient accounts on the P-Type list using the Quic List .5. Verifies and processes patient accounts on the P-Retro list using the Quic List.6. Verifies and processes weekend review list.7. Processes weekend admission census list.8. Verifies Medicare prior day admits.HOTJOB:20120113Apply Here:Â http://www.piedmonthealthcare-jobs.com/job/ATLANTA-Utilization-Reviewer-RN-Job-GA-30301/1517930/?feedId=714&campaignId=34&utm_source=ADVANCE&utm_campaign=Piedmont_HotJobs&tcsource=apply
Shift: Â Â 8HOUR Hours per Pay Period: Â Â 80 Facility: Â Â BAKERSFIELD MEMORIAL HOSPITAL Facility Information: Â Â Founded in 1956, Bakersfield Memorial Hospital was created to meet the needs of our community, and has grown from a small local...
Physician Practice Coding Manager  Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 13,000 employees working across six hospital campuses and more than a score of outpatient facilities...
Inpatient Coding Supervisor Baptist Health South Florida is the region's largest not-for-profit healthcare organization with more than 13,000 employees working across six hospital campuses and more than a score of outpatient facilities...
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