Medical City Healthcare
Division Registered Nurse (RN) Case Manager Utilization Review
PRN (as needed) Must be willing to work weekdays, weekends, and holidays.
Medical City Healthcare is one of the region’s largest, most comprehensive health care providers and includes 14 hospitals, 7 off-campus emergency rooms, 11 ambulatory surgery centers, more than 4,400 active physicians and 17,000 employees in the Dallas-Fort Worth area.
Job Summary: Utilization Review CM role supports the North Texas Case Management departments in admission and concurrent review adhering to medical necessity and Corporate Compliance guidelines. This virtual role reviews new patient admissions and concurrent using Meditech and other information sources and integrates patient clinical data with the appropriate selection of InterQual (IQ) Criteria. As such travel may be involved to the hospital facilities as needed.