Nurse Utilization Review - CHI Mercy Health : Job Details

Shift: Casual Part-Time, Days. Job Summary:Responsible for the review of medical records for appropriate admission status and continued hospitalization. Essential Duties:Conducts admission and continued stay reviews. Reviews records for accurate patient status orders and addresses deficiencies with providers. Collaborates with Care Coordinatos to ensure progression of care. Engages with Denials/ Revenue Cycle vendor to discuss denials prevention. Qualifications. License/ Certification:Licensed as a Registered Nurse in the State of Oregon. Certified Case Manager (CCM), Accredited Case Manager (ACM-RN) or UM Certification preferred. American Heart Association BLS for Healthcare Providers within 30 days of hire. Experience:Two (2) years acute care experience. A Master's degree in Case Management accepted in lieu of 1 year of experience. Five (5) years of nursing experience preferred. Education:ASNBSN preferred. Overview. CHI Mercy Health offers the unique opportunity to grow professionall...Nurse, Case Manager, Healthcare