Clinical Case Manager RN

3 weeks ago


Chattanooga, Tennessee, United States Erlanger Health Full time
Competitive Salary: $92,000 per year. About the Role

This role is critical in ensuring efficient and effective healthcare delivery at Erlanger Health.

Key Job Duties
  1. Determine medical necessity of patient admissions, observations, and procedures through thorough review of patient records and communication with physicians.
  2. Identify opportunities to reduce observation stays and minimize avoidable days.
  3. Promote performance improvement initiatives and contribute to departmental goals.
Essential Qualifications
  • CURRENT TENNESSEE NURSING LICENSE REQUIRED OR MULTISTATE LICENSURE FROM A COMPACT STATE FOR NON-TENNESSEE RESIDENTS.
  • PROVEN EXPERIENCE IN UTILIZATION MANAGEMENT PREFERRED.
  • FAMILIARITY WITH MANAGED CARE PRACTICES AND REGULATORY ISSUES ESSENTIAL.

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