What are the responsibilities and job description for the Utilization Review/Discharge Planning RN position at Steele Memorial Medical Center?
Job Description:
The Utilization Review Nurse is a critical role at Steele Memorial Medical Center. This position requires a nurse 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/or maintaining effective and efficient processes based on regulatory and reimbursement requirements of various commercial and government payers. The role involves performing concurrent and retrospective UM-related reviews and functions, ensuring appropriate data is tracked, evaluated, and reported.
Key Responsibilities:
