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A leading healthcare provider seeks a part-time RN - Utilization Review Coordinator for the Emergency Department in Joplin, MO. The role involves ensuring correct patient admissions, working closely with payers for authorization, and maintaining regulatory compliance. Join a team dedicated to improving community health with a variety of benefits starting from day one.
Join to apply for the RN - Utilization Review Coordinator - Emergency Department role at Freeman Health System
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Join to apply for the RN - Utilization Review Coordinator - Emergency Department role at Freeman Health System
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Our Mission
To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.
Our Mission
To improve the health of the communities we serve through contemporary, innovative, quality healthcare solutions.
Schedule: Part-Time 30 hours per week
What You'll Do
The Utilization Review Coordinator provides utilization review to assure patients are admitted to the hospital in the correct status according to applied criteria. They work closely with payers to assure correct authorization for admissions are given and if needed to appeal payer decisions. They also assure the system is meeting regulatory compliance with regards to admission status and continued stay.
Requirements
Current Missouri Registered Nurse license or current Registered Nurse license from a compact state. If a compact license is held, it must be in the nurse’s state of residence.
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