Hospitalist nurse practitioner vs utilization review nurse

Differences between hospitalist nurse practitioner and utilization review nurse duties and responsibilities

Hospitalist nurse practitioner example responsibilities.

• Manage continuity of care for complex general internal patients with limit resources-diabetes, hypertension, psychiatric, and homeless.
• Complete consultations for medical management history and physical on patients admit to the hospital by specialty physicians.
• Provide inclusive medical management as admitting, attending and/or consulting agent for patients who require hospitalization for primary medical diagnosis.
• Skil at EKG interpretation and arrhythmia recognition and management.assist with transition and implementation of computerize provider order entry and documentation.
• Provide GYN consultation frequently for primary care providers.
• Serve as clinical instructor for foreign-train midwives requiring GYN experience for CNM certification.

Utilization review nurse example responsibilities.

• Monitor patients' status during surgery (circulate in operating room) and manage patients in PACU.
• Case management for acute patients refer to LTC
• Advise insurance carriers on recommend reimbursement for charges following automate bill audit utilizing ICD-9 and CPT codes.
• Provide caregiver oversight relate to care, medication administration and emergency situations.
• Identify inappropriate utilization of services/settings through the application of establish clinical criteria using InterQual and CMS guidelines for medical necessity.
• Direct contact with IPA providers.
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