Job Description & Requirements
Case Management Nurse - Case Manager
Coordinates, negotiates, procures and manages care of patients to facilitate cost effective care and patient satisfaction. Facilitates the continuum of care, works collaboratively with interdisciplinary staff, internal and external to the organization. Responsible for UM reviews for inpatient hospital stays, carrying a complex case management case load, ownership of a disease management program, pre-certification reviews, ER reviews, and pharmacy reviews.