NM Utilization Review + Swing Bed Case Manager

This position is responsible for:Routine case management discharge planning swing bed coordinator and utilization review and screening potential admissions to the facilities swing bed programknowledgeable of criteria for Medicare Medicaid HMO swing bed and private insurance coverageInitiate ongoing communication with the resident and residents family to assess discharge involvement in daily rounds with bedside staff physicians and ancillary team membersCommunicate with physicians to ascertain their plans for a timely updates and discharge planning as an ongoing and collaborate with the healthcare team on swing bed placement and complete MDS documentation as with obtaining referrals prior authorization for Home Health Care CME SNF acute rehab and physicians and staff regarding appropriate level of care/utilization and required documentation that meets admission statusRun Interqual for each IP and OBS patient admitted to the floor

Shift: 0800-1630

Specialty Type: Mid-Revenue Cycle Solutions

Sub Specialties: Acute Care RN Case Manager Utilization ReviewAcute Care RN Case Manager Discharge PlanningAcute Care RN Case Manager Util Rev/Discharge Planning Acute Care RN Case Manager Util Rev/Appeals & Denials

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