San Francisco, CA, USA

RN Case Manager Utilization Review

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Wed 02/08/2017

Company: Clinical Management Consultants

A fantastic opportunity has just become available for an experienced RN Case Manager Utilization Review& at a top-rated short-term acute care hospital in the beautiful San Francisco Bay Area!

Reporting to the Nurse Manager of Case Management, the RN Case Manager Utilization Review& will collaborate with physicians, nursing staff, and hospital leadership to develop interdisciplinary plans for patient care, thereby ensuring quality and cost-efficient outcomes. The RN Case Manager Utilization Review& is also accountable for escalating special cases to the Medical Director as necessary.

The RN Case Manager Utilization Review& will be responsible for an average case load of 15-20 patients and cover a larger case load for discharges over weekends. The RN Case Manager Utilization Review& begins discharge planning upon patient admission to ensure the appropriate level of care for hospital reimbursement. In particular, the RN Case Manager Utilization Review will work to decrease Medicare denials related to Two-Midnight Rule compliance.

Tucked along the Northern California Coast in the heart of the San Francisco Bay Area, this coveted community has it all. Breathtaking state parks and beaches, a thriving culinary scene, and top-notch schools make this the ideal place to make your next home whether you prefer the city or a quiet tree-lined street. Weekend getaways to wine country an
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