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Utilization Rev Nurse - NE
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- Completes Utilization Management and Quality Screening for assigned patients.
- Applies MCG criteria to monitor appropriateness of admissions and continued stays, and documents findings based on Departmental standards.
- While performing utilization review identifies areas for clinical documentation improvement and contacts appropriate department.
- Identifies at-risk populations using approved screening tool and follows established reporting procedures.
- Refers cases and issues to Medical Director and Triad Team in compliance with Department procedures and follows up as indicated.
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