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Job Saved Save Job

RN, Case Manager, Utilization Management - PD/Days & Weekends

MemorialCare Health System

Details

Posted: 25-Jul-22

Location: Laguna Hills, California

Salary: Open

Categories:

General Nursing

Internal Number: SAD004234

Purpose Statement / Position Summary

The RN Care Manager is responsible for utilization review, multi-disciplinary care coordination and transition planning, for an assigned patient caseload. Role functions include: clinical assessment, payor communication for needed authorizations, and implementation of a patient / family centered plan of care across the continuum, to ensure optimal patient outcomes, including safe and timely transitions. The success of the department is inherent in the individuals’ ability to demonstrate positive, professional communication with patients/families, physicians, and other providers, and to meet / exceed benchmarks for quality outcomes, and financial targets.

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