RN Case Manager - Utilization Review (FTD)

Key Responsibilities

The RN Case Manager is responsible for overseeing utilization review and care coordination to ensure optimal clinical and financial outcomes. They assess patient needs, apply medical necessity criteria, and collaborate with physicians to manage admissions, continued stays, and discharge planning.

Requirements

Candidates must be a graduate of an accredited nursing program and hold a current state-issued RN license. A minimum of two years of clinical experience, preferably in cardiovascular nursing, and two years of case management experience are preferred.

Qualifications

Experience

2+ years of experience

Key Skills