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Rn Case Manager
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- The RN Case Manager Assistant is responsible to conduct medical necessity screening and work collaboratively with the interdisciplinary team to provide care coordination for patients under the direction of a Registered Nurse and in compliance with evidence-based practice and regulatory requirements.
- c) implementation of the transition plan based on RN Case Manager and/or Social Worker (SW) assessment(s),
- Utilization Management: Assures the patient is in the appropriate status and level of care based on Medical Necessity process and submits for Secondary Physician review per Kaiser policy.
- Ensures timely communication of clinical data to various payers to support admission, level of care, length of stay and authorization for post-acute services.
- Prevents denials and disputes by communicating with payers and documenting relevant information.
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