Job title: Experienced Case Manager/Discharge/Utilization Review RN
Job Summary:
We are seeking an experienced Registered Nurse to join our team as a Case Manager/Discharge/Utilization Review RN. The role will involve overseeing and coordinating patient discharges, conducting utilization reviews, and working closely with medical staff to ensure appropriate care and resources are provided to patients.
Responsibilities and Duties:
- Coordinate and facilitate patient discharges, ensuring smooth transitions and continuity of care
- Conduct utilization reviews to assess the appropriateness and necessity of medical treatments and services
- Collaborate with healthcare providers to develop and implement care plans that meet the unique needs of each patient
- Advocate for patients and their families to ensure they receive the highest quality of care and support
- Monitor patient progress and outcomes, adjusting care plans as needed
- Communicate effectively with healthcare team members, patients, and families to ensure clear understanding of care plans and goals
Qualifications and Skills:
- Registered Nurse with a current license in the state of [insert state]
- Minimum of [insert number] years of experience in case management, discharge planning, or utilization review
- Strong clinical assessment and critical thinking skills
- Excellent communication and interpersonal skills
- Ability to work independently and as part of a multidisciplinary team
- Knowledge of healthcare regulations and reimbursement processes
- Certification in Case Management (CCM) or Utilization Review (CRRN) preferred
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