Registered Nurse Case Manager

Job Title

Serves as liaison between the patient and facility/physician. Ensures a continuum of quality patient care throughout hospitalization and oversees provisions for patient's discharge. Assesses, plans, oversees and evaluates the appropriateness of care throughout admission and hospitalization of the patient.

Job Responsibilities

• Facilitates patient management throughout hospitalization.
• Performs concurrent utilization management using evidence based medical necessity criteria.
• Submits data to management regarding case management and/or quality initiatives.
• Serves as an in-patient liaison - planning, assessing, implementing and evaluating patient in collaboration with the health care team.
• 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...