Brundage Group

Nurse

• Conduct hospital admission reviews to determine medical necessity and appropriate patient status (inpatient, observation, outpatient)
• Conduct continued stay reviews using approved clinical criteria and guidelines
• Evaluate clinical documentation for accuracy, completeness, and compliance with payer and regulatory requirements
• Apply evidence-based criteria such as InterQual® and/or MCG®
• Communicate review findings and recommendations to physicians, case management staff, and leadership
• Collaborate with Physician Advisors regarding complex cases or cases not supported by criteria
• Assist with denial prevention activities and accurate documentation
• Perform other duties as assigned

Explore Utilization Review Nurse, PRN – Evening Shift at Brundage Group. Review requirements and application details.

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Utilization Review Nurse, PRN – Evening Shift