Utilization Nurse Case Review - (Omaha, NE)

Utilization Nurse Case Review Location Nebraska - Omaha Specialty Business Professional Facility Business Office Apply Now Closing Date: February 25, 2019, or until filled We are expanding services. Come grow with us Full time position, Monday-Friday day hours. This position performs specialized administrative duties pertaining to utilization review, audit, billing and reimbursement activities, utilizing knowledge of both nursing and administrative practices. Assists in the coordination of billing audits with 3rd party agencies, and as requested by BTNRH administrative team. Conducts concurrent reviews of billings for selected discharges and performs managed care defense audits and under/over charge audits; reviews charge-related patient grievances; reviews denied fees, recommends appeals and/or facilitates the resolution of root causes where appropriate; communicates audit and analysis findings to various parties.