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Concurrent Review

$20.37 per hour

Nevada Regional Medical Center

Job Title

Pay: Base Wage starting at $20.37; increased based on experience

Incentive Eligible Position: Yes

Essential Functions:

  • Authorize patient stays
  • Submit insurance PA for hospital admission insurance.
  • Continued stay submissions
  • Discharge submission to insurance
  • Appeals and Peer to Peer submission
  • InterQual submission for medical necessity.
  • Discharge planning for BHU and Acute Care.
  • Conduct UR Committee.
  • CDI Management
  • Swing Bed intake process
  • All other duties within the scope of practice.

Working Conditions:

  • Possible exposure to inside environmental conditions.
  • Exposure to distressed patients, families or visitors.

Physical Demands:

  • Requires standing, sitting or walking for up to 8 hours or longer per day.
  • The ability to lift up to 50 lbs.

Qualifications:

  • Graduate of an Accredited School of Practical Nursing or Registered Nursing or Graduate of an approved program in Respiratory Care or BSW/MSW from accredited school of social work required or similar education and experience; Missouri Licensure preferred
Nevada Regional Medical Center
Vacancy posted 11 hours ago
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