Utilization Review Registered Nurse
Current- Insurance identification and timely pre-certification for new admissions or transfers.
- Initial, concurrent, retrospective, and discharge reviews.
- Experience with medical, psychiatric, alcohol, and drug detox, and rehabilitation reviews.
- Assertive in recognizing the change of service and appropriately managing insurance information according to facility standards and best practices.
- Experience with Medicare, Medicaid, and many other insurance companies.