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Care Transitions RN
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$39 an hour
Part-time
- Utilizes clinical skills to create and update personalized transitional care plans for patients.
- Maintains awareness of financial reimbursement methodology, utilization management, payer/reimbursement practices and regulations and participates in resource stewardship.
- Prior care coordination and/or utilization management experience preferred.
- Performs utilization review activities, including preadmission screening, insurance verification for benefits, medical necessity reviews, denial and appeals and coordinates admissions with admitting physicians and staff.
- Serves as an internal and external resource regarding Medicare/Medicaid rules, regulations and policies; 3rd party and managed care contracts, and authorization for post-acute services.
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