Utilization Review Nurse-ARM
Memorial Support Services - Hollywood, FL

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Eligibility - Utilization Review Nurse - Accounts Receivable Management

Office based Registered Nurse position uses InterQual criteria to determine via medical record whether patient account meets criteria to bill to Florida Medicaid. Position requires the ability to sit for extended periods of time while working at a computer terminal. Position requires familiarity with Florida Medicaid billing and payment criteria for inpatient services.

Registered nurse licensed in the State of Florida. At least 3 years experience using Interqual criteria to review inpatient services. At least three years experience reviewing patient medical records to verify if patient visit meets Florida Medicaid billing and payment criteria. Computer literacy with Word Processing programs.

Organizational Profile:
Memorial Healthcare System, consisting of 6 acute care hospitals, a nursing home, outpatient facilities, home health services and physician practices, provides quality, comprehensive care to the residents of the surrounding communities. We invite you to join one of the nation's leading healthcare systems, recognized for use of advanced technology and clinical informatics.

Memorial Support Services provides a variety of business services to support our facilities. The main offices are located in Miramar with satellite offices located throughout our system.

Memorial Healthcare System is proud to be an equal opportunity employer committed to workplace diversity.

Employment at Memorial Healthcare System is subject to post offer, pre-placement assessment, including drug testing.