Carle Health
Normal, IL
Overview To provide a comprehensive approach to case management inclusive of all aspects of the patient's stay including, but not limited to the following key functions: discharge planning and execution of the discharge plan; ensuring proper utilization management requirements of payers are met; identification and capture of key clinical conditions by physician documentation; and institution of actions to support quality and safety initiatives. Qualifications Certifications: Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR); Certified Case Manager within 2 years - Commission for Case Manager Certification (CCMC), Education: College Diploma: Nursing, Work Experience: Acute care Responsibilities Performs intensity of service/severity of illness/disease specific reviews throughout patient stay. Applies and documents medical necessity reviews on admission and continued stay Notifies appropriate parties...
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Nursing
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