Williamson Health
La Vergne, TN
To perform the activities of Case Management and Utilization Management to facilitate the collaborative approach of the multi-disciplinary team for patients during their episode of care. Reviews and delivers necessary clinical information timely to third party payers with compliance to governmental regulations and insurance guidelines. Reviews for Hospital appropriateness in the correct admission status. Facilitates discharge planning activities with healthcare team while optimizing appropriate length of stay. Position Requirements Must be currently licensed by the State of Tennessee as a Registered Nurse. Case Management Certification preferred/required within 3 years of employment 5 years Medical Surgical Experience/Case Management/Acute Hospital preferred Demonstrated clinical knowledge base in medical/surgical nursing. Demonstrated organization, time management, problem solving and critical thinking skills. Able to perform independently and in team situations under the...
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Assistant & Support
Nursing
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