Case Manager - RN

Job description

The Case Manager 1 directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies on education, experience, professional training and judgment to accomplish responsibilities. A wide degree of creativity and latitude is expected. Works under minimal supervision. 1. Evaluation and Analysis: This will have been satisfactorily performed when… 2. Partnership and Collaboration: This will have been satisfactorily performed when… 3. Quality: This will have been satisfactorily performed when… 4. Other Duties as Assigned: This will have been satisfactorily performed when… - Admissions are reviewed for appropriateness using established Interqual criteria within 24 hours of admission/next working day has been performed as evidenced by no denials due to inappropriate status. - Current treatment plans are reviewed daily to evaluate appropriateness of services and progress toward treatment goals as evidenced by direct observation in IDT by the Director and/or Mana...