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Registered Nurse Case Manager
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$55 - $84 an hour
Full-time
- Performs concurrent utilization management using evidence based medical necessity criteria.
- Conducts chart review for appropriateness of admission and continued length of stay; Facilitates throughput.
- Conducts clinical reviews and interacts with third party payers to obtain approval of hospital days, pre-certification and post-discharge eligibility in relation to clinical course.
- Documents the case management process in the medical record; completes and documents a care coordination assessment on the patient.
- Serves as a liaison to patient, family, admitting, primary care physician, health care team, and hospital departments.
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