RN Case Manager
RN Case Manager needed.
Must have utilization review, the dept separated out the functions for discharge planning and case mgmt from the utilization functions. they want someone with strong utilization review skills with interQual, clinical reviews, payer authorization and payer management exp. they will be responsible for completing interQual reviews, completing clinical reviews and faxing payers and obtaining concurrent authorization for patients in the hospital. they do need to have sound knowledge of pt status observation and inpatient.