The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review. Conducts concurrent review of the medical record to determine appropriateness and medical necessity of admission, continued hospital stay, and use of ancillary services. Assumes a leadership role within the interdisciplinary team to coordinate services through the continuum of care to achieve optimal clinical and resource outcomes.
Education: Active PA RN license in good standing.
Bachelor’s or Associates level degree from an accredited school of nursing preferred.
Experience: Minimum of one year clinical experience. Prior experience in Case Management, Utilization Review or Discharge planning preferred. Certified Case Manager preferred.