Quality Management
Published
April 24, 2018
Job Type
Job Category
CLINICAL
Department
Quality Management
Hours
DAYS

Description

Responsible for the completion of initial and concurrent review of patients’ medical records; reviews medical records as needed based on the medical status of the patient and/or health plans; completes concurrent reviews on or prior to the next scheduled review date utilizing Inter-Qual criteria to assess medical necessity for continued stay; and completes necessary documentation to facilitate placement of patients as needed by Social Services/Discharge Planner. Responsible for assessing the medical necessity for the hospitalization and determine appropriate level of care. This position reports directly to the Director of Quality/Risk Management.

Qualifications

High School Diploma or equivalent is required. A graduate from a school of nursing with a current Georgia RN license. Experience preferred.
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