Quality Utilization Reviewer Partial Hospitalization Program

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  • Birmingham, AL
  • Main Campus Children's of Alabama
  • CBH PHP IOP
  • Full-time - Day shift
  • Nursing
  • Req #: 312192
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  • Job Summary
    • The PHP Nurse Reviewer is responsible for performing partial hospitalization admission reviews, concurrent reviews, and observation reviews which are based on pre-established criteria and third party payor contracts.
    • The PHP Nurse Reviewer a professional nurse who assesses, plans, implements, and evaluates nursing care for Patients/families in his/her area.
  • Education
    • Graduate of an accredited School of Nursing.
    • BSN required. MSN preferred
  • Experience
    • 3 years experience in a hospital setting or related field (i.e. 3rd party payer)
    • Utilization review experience preferred.
  • Licensures, Certifications, and/or Registries
    • Current AL RN license
    • Current BLS certification
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