What are the responsibilities and job description for the RN - Utilization Review position at Avita Health System?
Establishes and maintains efficient methods of ensuring the medical necessity and appropriateness of hospital admissions. Performs concurrent reviews for patients to ensure that extended stays are medically justified and are documents in patient's medical records.
Requirements:- Current licensure as a Registered Nurse (RN) in the State of Ohio.
- BLS certification or obtained within thirty (30) days of hire.
- Working knowledge of criteria for Medicare, Medicaid, HMO and private insurance coverage.
