The Revenue Utilization Review (RUR) Assistant Nurse Manager (ANM) is a Registered Nurse (RN) who assists to control costs for a region while monitoring the quality of care through critically examining patient medical records, paying close attention to the appropriateness of healthcare expenditures. The RUR ANM relies on experience, education, and awareness of appropriate evidence-based review criteria to compile an accurate account of patient clinical pictures. The RUR ANM is responsible to provide leadership and supervision to the RUR staff nurses and Program Support Assistants (PSAs) who review (PSAs use algorithm) service connection (SC) and special authority (SA) eligibility before relaying any information to external reviewers representing third-party payers (TPPs). The
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