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RN - Case Manager II - Managed Care

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Listing Info

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity.

Position Responsibilities


  • Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
  • Review and audit patient charts through on-site hospital visits.
  • Act as clinical resources to referral staff and make appropriate referrals.
  • Provide patient and provider education.
  • Data enters assessments, authorizations and reviews into the system.

    • Requirements

    Licenses/Certifications: RN, LPN or LVN required. Current state nursing and driver's license. UM certification preferred.

    Knowledge/Experience

    At least two years clinical nursing experience.

    Nurse Resolutions

  • 411.2228 x 204 - Toll Free
  • 982.7508 - Fax

    www.nurseresolutions.com

    rn, registered nurse, case manager, case management, medicaid, managed care, disease management, utilization review, utilization management


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