Pediatric nurse practitioner vs utilization review nurse

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

Pediatric nurse practitioner example responsibilities.

• Initiate and lead a training program for high frequency oscillatory ventilation.
• Manage appropriate changes to individualize care plan to ensure cost and time efficacy in an outpatient physical medicine and rehabilitation office.
• Perform advance practice procedures including: lumbar puncture, PICC line insertion, UAC/UVC insertion and endotracheal intubation.
• Provide assessment, diagnosis and management of acutely ill and injure pediatric patients in an urban emergency department.
• Return as a new NNP and do clinical.
• Complete clinical and provide services as a full time NNP.
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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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