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UTILIZATION REVIEW RN - 28101

Springfield, IL

USD $32.95/Hr.

Max

USD $52.73/Hr.

Overview

Schedule: 7:30-4:00

Performs clinical review of patient records to evaluate the utilization of acute care services. Communicates to third party payors to support the medical necessity of the hospital admission for services reimbursement. Ensures the patient care team is aware of general length of stay requirements for all patients. Facilitates physician documentation through concurrent interaction with physicians to support reimbursement and clinical severity is captured for the service rendered to patients receiving hospital care. Provides clinical knowledge and data collection for quality improvement initiatives. Optimizes reimbursement for acute care services.

This is not a remote position. 

Qualifications

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