Crissy Irvine
Vur Um Rn @Ensemble Health Partners
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WORK HISTORY
Vur Um Rn @Ensemble Health Partners
OH, US
Conduct inpatient and observation reviews based on Payor’s guidelines for multiple hospitals utilizing MC and Interqual in Connect Care.Responsible for managing Payor referrals, Code 44s, and communicating denials with the denials team.Collaborate with Physicians Advisors to determine appropriateness of the level of services based on extensive review in accordance with governmental and regulatory agency standards. Communicate with in-house physicians informing them of PA’s recommendations to adjust patients’ status based on medical record documentation accurately reflecting level of services.Collaborate with in-house CM’s with changes to patients level of services and inform when Code 44 letter is ready to deliver to patient.
ABOUT CRISSY IRVINE
Well seasoned UM RN for 10 years. Works remotely currently. Has CCM and MCG…
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