Clinical Case Manager RN

1 week ago


Laurel, Mississippi, United States South Central Regional Medical Center Full time

**Job Title:** Clinical Case Manager RN

 

**Estimated Salary:** $55,000 - $65,000 per year

 

This position involves reviewing patient cases and making decisions based on clinical information. You will need to distinguish between pertinent and non-pertinent information, determine when additional information is needed, and prioritize daily work to maximize productivity.

 

Key Responsibilities:

  1. Distinguishing between relevant and irrelevant clinical information
  2. Requesting additional information from physicians as needed
  3. Prioritizing daily work to optimize productivity
  4. Deciding when follow-up is necessary on incomplete authorizations

 

Requirements:

RN, LPN, RHIT/RHIA trained or eligible, or non-credentialed person with previous utilization review experience and basic understanding of ICD-10 coding and Interqual criteria.



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