Registered Nurse - Utilization Review / CDI
TactStaff
Job Description Job Summary:
The Utilization Review Nurse specializes in ensuring appropriate patient care through comprehensive review and discharge planning. They collaborate with healthcare teams to optimize discharge processes and ensure documentation compliance. Responsibilities:
Why TactStaff?
Choosing TactStaff means partnering with a team that understands the unique demands and rewards of Utilization Review / CDI . We're here to provide you with meaningful assignments that support your professional growth while ensuring each role is a step toward achieving your long-term career goals.
Apply today to experience how TactStaff can elevate your Utilization Review / CDI career!
The Utilization Review Nurse specializes in ensuring appropriate patient care through comprehensive review and discharge planning. They collaborate with healthcare teams to optimize discharge processes and ensure documentation compliance. Responsibilities:
- Evaluate patient admissions and stays to determine appropriate utilization of resources.
- Coordinate discharge planning by initiating ongoing communication with patients and families.
- Conduct daily rounds with bedside staff, physicians, and ancillary teams to review care plans.
- Communicate with physicians to establish discharge timelines and required documentation.
- Complete MDS documentation and assist with obtaining referrals and prior authorizations for ancillary services.
- Run Interqual reviews for each inpatient and observation patient to ensure appropriate level of care.
- Hold a valid Registered Nurse (RN) license.
- Proven experience in utilization review, care coordination, or discharge planning.
- Strong understanding of Medicare, Medicaid, HMO, and private insurance coverage criteria.
- Excellent communication skills to liaison effectively with patients, families, and healthcare providers.
- Ability to interpret clinical documentation and perform clinical reviews accurately.
- Access to ongoing education and professional development opportunities.
- Opportunity to work within a collaborative healthcare team focused on quality patient care.
- Day 1 Medical, Dental, and Vision insurance
- Travel reimbursement for assignments
- Paid sick leave and additional valuable benefits
- Access to our $1,000 Inspire a Friend Referral Program
Why TactStaff?
Choosing TactStaff means partnering with a team that understands the unique demands and rewards of Utilization Review / CDI . We're here to provide you with meaningful assignments that support your professional growth while ensuring each role is a step toward achieving your long-term career goals.
Apply today to experience how TactStaff can elevate your Utilization Review / CDI career!
Vacancy posted 1 day ago
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