Job Summary
A company is looking for a Registered Nurse (RN) - Utilization Manager.
Key Responsibilities
- Performs Pre-Admission, Admission, and Continued Stay activities
- Maintains open communication with all appropriate parties and manages patient movement through the healthcare system
- Interacts with managed care/third party payers to obtain financial certification and minimize reimbursement denials
Required Qualifications
- Registered Nurse Diploma or equivalent
- Current State of Louisiana Registered Nurse License
- 1 year of hospital-based experience in patient care delivery
- Experience in Case Management or Utilization Review preferred
- Knowledge of health care delivery systems and financial aspects of patient care preferred
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