Job Summary
A company is looking for a Registered Nurse Care Manager (RN).
Key Responsibilities
- Assess patient clinical, functional, and behavioral health status for timely follow-up and service allocation
- Coordinate with scheduling, authorization, and billing teams to ensure documentation integrity and resource utilization
- Oversee the agency care management program, ensuring high-quality and cost-effective care delivery
Required Qualifications
- Registered Nurse license in the state of employment
- Two years of home care field experience preferred
- Minimum of one year of clinical review experience preferred
- Two years of case management and/or utilization management experience preferred
- Proficient in HCHB
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