Concurrent Utilization Management Nurse

Job Description JOB SUMMARY The Concurrent Utilization Management (UM) Nurse is responsible for completing pre-admission, initial, concurrent and/or retrospective reviews of inpatient hospitalization services and for the determination of medical appropriateness and medical necessity for a variety of patient cohorts using evidence-based clinical guidelines and/or nationally recognized criteria. The UM RN will use their clinical findings from their reviews to inform the care team of level of care…