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Medix is currently hiring for a Utilization Review Nurse/Care Manager within a Healthcare system in NJ. It is 200 bed facility, which has been up to approx. 65-70 inpt census including ER/ICU. Clinical review submissions vary daily, pending census. Expectation is to complete a minimum of 7-8 clinical using criteria daily. We are looking for RN's that have strong inpatient clinical background or experience in Care Management/Utilization Review. Will be using MCG for review criteria.
Schedule - Monday - Friday (8:30a-4:30p)
Job Description
The Registered Nurse will provide case management/utilization review as well as routine discharge planning services to patients and their families, to facilitate safe and timely discharges, to enhance the benefits of medical care, to ensure hospital reimbursement, to provide cost effective acute care and to ensure continuity of care.
Duties
Requirements