School nurse vs utilization review nurse

Differences between school nurse and utilization review nurse duties and responsibilities

School nurse example responsibilities.

• Create and manage care plans for students with chronic health conditions (such as diabetes, food allergies and depression).
• Evaluate and manage post-exposure of blood-borne pathogens.
• Administer medications, evaluate prescription needs and facilitate prescription management, chemotherapy teaching, assess and manage chemotherapy side effects.
• Perform employee physical exams including hearing and spirometry as required.
• Provide patient care for PCI patients, mechanically-ventilate patients and an overall variety of critically ill patients.
• Perform drug testing, physicals, PFT and xrays.
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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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