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Commercial Review Specialist I

Eligibility
Utilization ManagementUtilization ReviewQuality Assurance

Posted Jul 31 · 5 years of experience

Unit and setting
Hospital
License
RN license
Term
Permanent

Do you qualify?

Also asks
New York

The role and schedule

Union
Union position
Weekends
Weekends required

The workplace

SUNY Upstate Medical University
Hiring organization

Your fit

Questions to ask

  • Can you walk me through base pay range and differentials?
  • What should I expect for shifts, weekly hours, holiday, call, and rotation?
  • What orientation, preceptor time, and ongoing unit support are included?
  • How are patient load, floating, and staffing support handled day to day?
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Original listing

Read full text

The UR-CR Specialist I is primarily responsible for ensuring that patient care services are appropriately recorded and utilized in accordance with hospital standards of quality, the policies of regulatory agencies, and the negotiated contracts with reimbursement entities. This is achieved through a thorough chart review and utilization of first-level screening criteria to ensure patients are at the appropriate level of care during the continuum of their hospital stay. The UR-CR 1 will collaborate with the medical team and the UR medical directors to establish the appropriate level of care.

The UR CR 1 will act as a liaison for discharge appeals and social admissions, preparing regulatory notices for delivery to the patient.

What's around it?

In Syracuse, NY

Syracuse, NYFrom Census ACS 2024.

Living costs about 4% below the US average

Median rent
$1,039/mo
Household income
$47,819/yr, all local households, not nurse pay

See Syracuse, NY

Nurses on this role

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