HCA, Hospital Corporation of America RN Case Manager PRN in Brigham City, Utah
Position is responsible for reviewing patient case loads for admission appropriateness and continued stay necessity from a clinical and reimbursement standpoint, ensuring appropriate billing status and insurance approvals. Assists staff with compliance to federal, state and accreditation regulations.
- Ensures admission appropriateness for patient case loads from a clinical and insurance standpoint for reimbursement purposes, obtains insurance continued authorization.
- Monitors patient care needs and available hospital services to avoid under and over utilization of resources.
Contacts physicians as needed to review patients with questionable lengths of stay or other inappropriate admissions information.
Requires a RN registered in the State of Utah with five years of medical and surgical nursing experience.
Title: RN Case Manager PRN
Location: Utah-Brigham City-Brigham City Community Hospital
Requisition ID: 00079-32681