Case Manager, RN- Utilization Review

Key Responsibilities

The Case Manager validates patient placement using medical necessity criteria and manages concurrent reviews to ensure appropriate level of care. They also collaborate with payers to secure authorizations and partner with providers to facilitate cost-effective patient care.

Requirements

Candidates must hold an Associate's Degree in Nursing and be a Registered Nurse. The role requires at least three years of acute care experience and two years of experience in case management.

Qualifications

Education

Associate degree

Experience

2+ years of experience

Key Skills