Neonatal nurse practitioner vs utilization review nurse

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

Neonatal nurse practitioner example responsibilities.

• Manage appropriate changes to individualize care plan to ensure cost and time efficacy in an outpatient physical medicine and rehabilitation office.
• Provide management for critically ill infants and resuscitation for high-risk newborns in the delivery room in collaboration with attending physician
• Educate patients' families about self-management of acute or chronic illnesses, tailoring instructions to infants' individual circumstances.
• Participate in education of pediatric residents in learning newborn resuscitation and outreach education of community/referral hospitals regarding newborn care and stabilization.
• Prescribe age-specific physical therapy and rehabilitation.
• Prescribe age-specific physical therapy and rehabilitation.

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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