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Director of Case Management - RN License Required
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$106,000 - $135,000 a year
- Benefits Package Relocation Assistance Available - Possible Location: Detroit, Michigan.
- Implements and monitors utilization review process in place to communicate appropriate clinical data to payers to support admission, level of care, length of stay and authorization for post-acute services.
- Advocates for the patient and hospital with payers to secure appropriate payment for services rendered· Implements and monitors physician “peer to peer” review process with payers to resolve denials or downgrades concurrently.
- Master’s degree in Nursing, Business Administration or Hospital Administration preferred.
- Accredited Case Manager (ACM) preferred.
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