the Health and Human Services Commission is seeking a Nurse III with an RN designation.
Description
The Nurse Reviewer plans and conducts reviews and investigations, prepares reports and makes appropriate notification. Works under limited supervision with considerable latitude for the use of initiative and independent judgment. Conducts utilization reviews for Medicaid recipients in Medicaid approved hospitals to determine accuracy of the diagnosis and procedure coding, to ensure accurate payment and to review the quality of care provided. Conducts MDS assessment and reimbursement reviews in Medicaid approved nursing facilities to determine the accuracy of assessment data provided by the nursing facility to ensure accurate payment. Performs other duties as assigned and required to maintain unit operations.
Minimum Education: License to practice as a Registered Nurse in the State of Texas or in a state recognized under the Compact Licensure Agreement.
Pay: $4,598.66 - $7,532.75 / Month