One of the jobs done by UR, at my hospital, is looking at the medical necessity including obs vs inpt, appropriateness of services and procedures ordered, length of stay as indicated by insurance...
I would try the ANCC (American Nurses Credentialing Center). http://www.nursecredentialing.org/NurseSpecialties/CaseManagement.aspx They have review resources and seminars, eligibility criteria in...
The facility I work in the ER nurses take whatever walks through the door and treat the immediate need then discharge them, transfer them to a larger facility, with more specialized care, or they are...
I have been a nurse for 25 years and feel the acuity of the patients is getting higher and higher. I currently work as a staff nurse and the assistant manager of a 22 bed medsurg unit in rural...