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Utilization Reviewer (RN)- Per-Diem, Days 8am-4pm, Morristown
Job Description 1. Provides timely and thorough clinical information to insurance companies and other intermediaries to secure payer authorizations and avoid denials or reduction in level of care. 2. Performs daily surveillance of observation cases and works with PA discussing any barriers to progression of care or discharge. 3. Intervenes proactively to avoid denials or delays in authorization. 4. Actively communicates information to other CM team members and interdisciplinary teams regarding progress or payer issues related to continued hospitalization and post-acute service associated with the patients discharge pl
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