Utilization review nurse vs public health nurse

Differences between utilization review nurse and public health 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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Public health nurse example responsibilities.

• Participate in manage care activities to produce health change, specifically providing diabetes education and lifestyle counseling in chronic disease areas.
• Assist in application of traction devices.perform routine tests such as urine dip stick, vision and hearing tests.
• Dispense medications and provide education for TB patients.
• Provide basic CPR classes at the community level as well.
• Produce and conduct staff classes such as CPR, respiratory protection, infectious diseases, etc.
• Instruct family in the care and rehabilitation of patient, maintenance of health and prevention of disease for family members.
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