Nurse Case Manager
1 day ago
We are seeking a skilled and experienced Nurse Case Manager to join our team at Della Infotech, Inc. As a key member of our healthcare team, you will be responsible for ensuring the quality and resource management of all patients admitted to our facility.
Key Responsibilities- Conduct comprehensive admission and concurrent reviews of medical records to determine medical necessity, intensity of service, and severity of illness.
- Develop and implement individualized care plans to promote cost-effective and quality outcomes.
- Collaborate with healthcare providers to ensure seamless delivery of care and achieve clinical and cost-effective outcomes.
- Ensure compliance with Milliman Criteria and InterQual Criteria.
- Provide education and support to patients and families to promote self-management and empowerment.
- Minimum 2 years of work experience post-graduation from an accredited school of nursing and a current state Registered Nurse license.
- Two years of acute care nursing experience preferred, with at least one year of experience in case management, discharge planning, or nursing management.
- Current BCLS (AHA) certificate preferred.
- Knowledge of Milliman Criteria and InterQual Criteria preferred.
- Basic to intermediate computer skills.
- Behavioral Violence Prevention Training within 3 months of hire and maintain current.
Monday - Friday, 8:00am - 4:30pm
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Nurse Case Manager
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