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Utilization Management Nurse Coordinator
Wickenburg, Arizona, United States
Date Posted: 02/16/2009
Job Type: Full-Time
Maintains that each admission meets Remudas admission criteria, flagging potential admissions that are designated as high-risk for special action plans. Facilitates the precertification process, obtains authorization for continued stay reviews. Communicates documentation needs during staffings, supports the appeals process on patients who have been denied reimbursement by third party payors. Able to train direct patient care staff on the documentation needs of third-party payors.