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Case Manager RN
2 months ago
At Mission Regional Medical Center, we are committed to delivering exceptional patient care and promoting a culture of quality, compassion, and community. As a Case Manager Registered Nurse, you will play a vital role in ensuring the seamless delivery of care to our patients.
Responsibilities:
- Conduct comprehensive admission and concurrent reviews of medical records to ensure medical necessity, intensity of service, and severity of illness.
- Develop and implement individualized care plans to promote cost-effective outcomes and quality care.
- Collaborate with healthcare providers to integrate care and achieve seamless delivery.
- Ensure compliance with regulatory requirements and hospital policies.
Qualifications:
- Minimum 5 years of work experience post-graduation from an accredited school of nursing.
- Current state Registered Nurse license.
- Preferred experience in case management, discharge planning, or nursing management.
- Knowledge of Milliman Criteria and InterQual Criteria.
- Basic to intermediate computer skills.
Mission Regional Medical Center is a 297-bed, non-profit hospital that provides inpatient and outpatient services to the community. We are committed to making a difference in the lives of our patients and their families. If you share our values and are passionate about delivering exceptional care, we encourage you to apply for this exciting opportunity.