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Memorial Home Services
Under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement, the Utilization Review Nurse provides clinically based concurrent and retrospective review of inpatient medical records to evaluate the documentation and utilization of acute care services. This includes facilitating appropriate physician documentation of care to accurately reflect patient severity of illness and risk of mortality. Additionally, this role performs utilization review of all patients presenting for hospitalization to assist in identifying patients appropriate for admission to inpatient, observation, or other patient care status.
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This role is under the direct supervision of the Supervisor, Utilization Review and Clinical Documentation Improvement.