RN Concurrent Review

The Conucrrent Review Nurse is responsible for compliance with the Medical Management Program Description of P3 Health Partners regarding Utilization Review, inclusive of prior authorization, concurrent and retrospective review, discharge planning and transitions of care to the appropriate level. The Concurrent Review Nurse adheres to the standard operating procedures that support achieving the Quadruple Aim:  improved outcomes, improved patient experience, improved clinician experience and decreased cost of care.