The Case Manager performs a variety of integrated functions while applying broad professional nursing knowledge. Analyzes and evaluates medical information for quality and appropriateness of care; screens records with variations for peer review; responsible for appropriate and timely intervention and coordination with other members of the Care Management Team to resolve problems related to quality/utilization management activities; provides pertinent clinical data to outside agencies as needed to assure compliance with their requirements; acts as a resource for hospital and medical staff regarding clinical documentation requirements; evaluates patient outcomes through clinical path monitoring.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
Number of Employees
5,001-10,000 employees