Paynhire

RN Utilization Case Manage Part Time

Updated: April 25, 2024 05:08 AM GMT


Valley Health System

Valley Health System

Ridgewood, NJ

Position Summary

Performs concurrent utilization review activities on all patients within the assigned caseload. Collaborates and educates the medical staff on appropriate utilization review guidelines and documentation in accordance with CMS regulations and Commercial payors guidelines. Monitors and intervenes on LOS, resource utilization and denial management/ prevention within the assigned... More Detail


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