Registered Nurse/Case Manager

Shift: Day 5×8-Hour (07:00 – 15:30)

Description:

Local BR differs!
Required:

-CA RN License
-InterQual recent experience is a MUST, preferably acute care experience
-M-F w/ every other S&S: The week before and the week after their weekend to work, they would have a day off during the week

This position facilitates utilization management (UM) processes to support that the right care is provided at the right place and at the right time. To accomplish these goals, he/she applies established criteria to evaluate the appropriateness of admission, level of care, continued hospitalization and readiness for care transition; assures timely movement of patients throughout the continuum of care by conducting concurrent review and proactively resolving care, service, or transition of care delays/issues as necessary; in collaboration with the Facility Acute Care Manager (CM). This position provides third-party payers clinical information to assure reimbursement; and coordinating care with the treatment team, patient, family and others as necessary.