• Utilization Management Appeals Registered Nurse,…

    Emory Healthcare/Emory University (Atlanta, GA)
    …appeal or change in patient class. + Coordinates third party appeals with the physician advisor team when needed. -Uses sound clinical judgement, reasoning, and ... as needed. + Conducts complete and accurate retrospective reviews and audits of hospital records to determine if patient class (level of care) was appropriate and… more
    Emory Healthcare/Emory University (08/08/25)
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