Registered Nurse Utilization Review Full Time Days
The Registered Nurse / RN is responsible to facilitate effective resource coordination to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patientâ��s resources and right to self-determination. The Registered Nurse / RN has overall responsibility for ensuring that care is provided at the appropriate level of care based on medical necessity. The Registered Nurse / RN manages medical necessity process for accurate and timely payment for services which may require negotiation with a payer on a case by case basis. The Registered Nurse / RN integrates national standards f
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