, please review this . The purpose of the Utilization Case Manager RN is to conduct initial chart reviews for medical necessity... and identify the need for authorization. The Utilization Case Manager RN coordinates with the healthcare team for optimal...
for a full time Utilization Review Case Manager to work to work remote. The incumbent conducts initial, concurrent... and retrospective chart reviews for clinical utilization and authorization. The Utilization Review Case Manager coordinates with the...
expertise, the nursing process, current concepts/principles of case management/utilization management/disease management... census. Collaboration with the Chief Utilization Officer related to the Utilization Management Committee, case consultation...
years of clinical experience and/or utilization review experience. Current active, valid and unrestricted LPN/LVN license... complex case types that do not require the training or skill of a registered nurse. Acts as a resource for more junior...