Highland Park, TX1 day ago
Strong organizational skills • Basic computer skills; Outlook, Word, and Excel EDUCATION/EXPERIENCE/TRAINING Required: • Maintain an active California RN • Minimum of two (2) years of acute hospital nursing experience or similar field Preferred • CCM or ACM (Certified Case Manager, Accredited Case Manager) • Minimum of one (1) year acute hospital nursing experience in Critical Care or Emergency Department • Previous experience in case management, access management or utilization management • Knowledge of payer requirements PI83d517366013-25448-407056635c143e31-5e48-4549-b638-05792d185386 The EPR-RN performs, and supervises the EPRN-LVN, in utilization review with a prominent level of expertise by using approved criteria that demonstrates medical necessity to achieve appropriate authorization and reimbursement for services for the appropriate level of care and status (Inpatient, Observation, or Outpatient).