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RN Case Manager, Acute Care Case Management Specialist
4 weeks ago
VNS Health seeks a skilled Registered Nurse (RN) to lead Acute Care Case Management initiatives.
Key Responsibilities
- Conduct thorough assessments to identify member needs and develop cost-effective solutions.
- Manage requests for medical services, ensuring timely and informed clinical decisions.
- Collaborate with management, subject matter experts, and healthcare professionals to coordinate care.
- Review requests for services, ensuring medical necessity and appropriateness of admissions and treatment.
- Participate in case conferences to identify opportunities for alternative care options.
- Maintain accurate records of care management and provide direction to ensure quality service delivery.
