2 nurse practitioner jobs found

Overview The advanced practice provider provides comprehensive direct patient care and scholarly practice including obtaining comprehensive patient histories, performing complete physical examination, ordering and performing diagnostic testing and screening, diagnosing illness, prescribing both pharmacological and other treatments for patients, and providing health maintenance and promotion interventions such as patient and family education and counseling. Also, the APP assumes accountability for indirect care responsibilities, which support patient care including staff and student education, clinical research, program development, and quality improvement. Qualifications Minimum Knowledge, Skills, Experience Required: Education: Completion of a Nurse Practitioner Masters of Science in Nursing. Successful completion of a national certification exam for NP or graduate of an accredited Physician Assistant program ....

Overview The Surgical Utilization Review Registered Nurse (UR RN) is responsible for conducting concurrent medical necessity reviews to ensure appropriate level-of-care determinations, regulatory compliance, and reimbursement integrity. This position serves as a liaison between physicians, advanced practice providers, nursing, case management, revenue cycle, and payer organizations to facilitate accurate patient status assignment, timely authorization management, and denial prevention. The primary focus of this role is surgical utilization review, including pre-operative, post-operative, and procedural patient populations. Responsibilities include validating compliance with Medicare, commercial payer, and organizational requirements, including Inpatient Only (IPO) procedures, Two-Midnight Rule criteria, observation services, and medical necessity requirements. This role requires strong collaboration with surgeons, physician assistants, nurse practitioners,...