with a payor on a case-by-case basis. This position integrates national standards for case management scope of services including...: Utilization Management services supporting medical necessity and denial prevention Coordinating with payors to authorize...
, electronic health records (EHR), database systems, and utilization review/case management documentation systems. Knowledge...Dedicated to Weekends - Saturday & Sunday from 8am-6:30pm Onsite Only GENERAL SUMMARY: The Case Manager-RN plays...
readmissions. This position integrates national standards for case management scope of services including: Utilization Management... and department orientation is required. Department orientation includes review and instruction regarding Tenet Case Management...
Should Have utilization management experience. Should have experience completing post-acute reviews for the inpatient rehab, skilled nursing... required. Certification in Case Management may be preferred based upon designated department assignment. Above average computer skills...
management skills. Proficiency with computers, electronic health records (EHR), database systems, and utilization review/case... Case Manager-RN will collaborate closely with patients, families, healthcare providers, and community resources to optimize...