Utilization Reviewer - RN Job
Job Description
Job Title: Utilization Reviewer - RN
Company Name: Piedmont Hospital
Employment Type: Full Time
Location: ATLANTA, GA, United States
Department: PATIENT CARE COORDINATION
Salary: Highly Competitive
Shift/Hours: Monday thru Friday
Hours/Pay Period: 80
Degree Required: State License
Job ID: 7170-P2112-013374
Date Posted: Nov 3, 2011
Years Experience: 2
Job Category: Professional Administration
Note: Please read the complete description below before applying for this job.
Complete Description
RESPONSIBLE 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:20120113
Apply 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
Director of Nursing - Home Health and Hospice Job HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy....
Outgoing, articulate, energetic RNs, LPNs and Student Nurses wanted for per diem work as independent contractors. Position entails training hospital staff (nurses, techs, MDs) on BARD Medical devices. Work is performed in the hospital setting...
Admissions Nurse - Home Health Care Job HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. Heartland...
Provides home care visits and assumes on-going primary responsibility for an assigned caseload of patients within a designated area. Responsible for submitting documentation of patient visits in a timely and accurate manner. Communicates...
Client in Washington seeking RNs to work M - F, 8 hour DAYS, in Oncology Infusion Center.  Work with other travelers while gaining valuable experience in this highly sought after location! Top pay and housing available!! Washington State is...
CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most prestigious healthcare facilities in the country. Â As a...
Client in Washington seeking RN to work M - F, 8 hour DAYS, in Orthopedics Clinic.  Work with other travelers while gaining valuable experience in this highly sought after location! Top pay and housing available!!  Washington State is a...
Current Opportunities: New Jersey: Bayshore Medical Center, Holmdel, NJ Clara Maass Medical Center, Belleville, NJ Kimball Medical Center, Lakewood, NJ RWJ Rahway Hospital, Rahway, NJ Saint Barnabas Medical Center, Livingston, NJ New York:...
Urgent need for PAs/NPs to provide critical services for our service men and women. * PA/FNP - Millington, TN * NPs -  Womens Health - Lackland AFB, TX OMV Medical, Inc. at: [Click here for email] or call Linda or Brian at 800.773.3105 ...
Provide care to those who need it most. We'll provide your student loan repayment Make a difference while getting help with your student loans and earning a competitive salary. National Health Service Corp's Loan Repayment Program offers the...
Career Positions & Locum Tenens Contracts We represent opportunities nationwide in every specialty for new graduates, experienced professionals, faculty members, and management professionals. For over 2 decades, our founder has been paving the...
SLP / SPEECH PATH / SPEECH LANGUAGE PATHOLOGIST Fantastic location in Fort Wayne, IN looking to bring on a full-time SLP, and they will interview a CFY! This skilled nursing facility is conducting interviews NOW. There are plenty of actives to...
OT / OCCUPATIONAL THERAPIST This is a fantastic opportunity for an Occupational Therapist looking for a full time position in the Fort Wayne area. The position will be providing therapy services in 2 skilled nursing facilities with great...
SLP needed in Tamaqua, PA. SNF setting. 1 / 13 start date. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most...
SLP needed for SNF in Bellevue, MO. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most prestigious healthcare...
OT needed in Washington DC. SNF setting. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most prestigious healthcare...
COTA needed in Philadelphia, PA. SNF setting. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most prestigious...
SLP needed in Washington, DC startimg 1 / 2 / 2012. SNF setting. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the...
PT needed for SNF in Minnesota. Minnesota is a state full of endearing oddities. Here you can immerse yourself in attractions and events that are guaranteed to make you ponder the question, ?What do they put in the drinking water around here??...
OT needed for a SNF in Virginia. Located midway between New York and Florida, Virginia is the gateway to the South. It is also sometimes classified in the Mid - Atlantic region. The Commonwealth is bordered by Washington, D.C., the nation's...
OT needed for SNF in Washington. Washington State is a great place to discover the energy of sophisticated cities, and all the culinary, cultural and urban arts experiences for which Seattle, Tacoma and Spokane are famous. But then what? We...
OT needed in Rawlins, WI. SNF setting. CoreMedical Group has hundreds of exciting and rewarding travel assignments throughout the country for Travel Allied Professionals and Travel Nurses. Our clients are among the most prestigious healthcare...
COTA needed for SNF in Washington. Washington State is a great place to discover the energy of sophisticated cities, and all the culinary, cultural and urban arts experiences for which Seattle, Tacoma and Spokane are famous. But then what? We...
OT needed for SNF in Washington. Washington State is a great place to discover the energy of sophisticated cities, and all the culinary, cultural and urban arts experiences for which Seattle, Tacoma and Spokane are famous. But then what? We...
Acute
|
FREE OCEAN CITY MD CONDO!
FREE LUXURIOUS BEACH CONDO FOR SUMMER EMPLOYMENT AT OUR MODERN URGENT CARE CENTER . Friendly, yet exciting fast paced atmosphere. Our urgent care center are well staff and equipped with x-rays, labs, EKG pharmacy, and always staffed with...