Memorial Health System

Utilization Review Nurse

Job Locations US-IL-Decatur
ID
2021-9872
Category
Registered Nurse (RN) (Experienced)
Position Type
Full-Time

Overview

Reviews all DMH and DMG scheduled inpatient and outpatient procedures and outpatient diagnostic services to validate the scheduled procedure or diagnostic service has the appropriate payor authorization or meets the payor’s medical policies, there is a valid physician order, and other clinical documentation requirements are met prior to the scheduled procedure or diagnostic service.

Qualifications

Must be an RN or LPN with current Illinois license.  Five years experience in clinical nursing is required.

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