Utilization review nurse vs clinical research nurse

Differences between utilization review nurse and clinical research nurse duties and responsibilities

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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Clinical research nurse example responsibilities.

• Maintain accountability and compassion while providing care, administering medications, performing procedures and managing emergencies.
• Demonstrate clinical competency and compassion in providing care, using technology, administering medications, performing procedures and managing emergencies
• Command of CPR team until a doctor arrives; defibrillate and assess patients' condition.
• Administer pain medication through intravenous, oral or subcutaneous injection to recovering patients in the immediate post-operative period of surgery.
• Provide complete nursing care for patient populations undergoing procedures relate to abdominal surgery, multiple trauma, oncology, and peritoneal dialysis
• Provide skil nursing care for patients spanning the pediatric medical spectrum including hematology, immunology, oncology, neurology and endocrinology.
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