RN / Registered Nurse Job in Atlanta, Georgia
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Description
Case Manager RN, Utilization Management RN, Patient Care Coordinator RN:
RN Patient Care Coordinator 4 Positions Immediate needs-
-Completion of an accredited registered nursing (RN) degree program is required
-Minimum of three (3) years clinical experience is required
-Med/surgical acute clinical care experience is preferred
-Medical management experience is preferred
-Medicaid/Medicare/Commercial experience is preferred
-Two (2) years utilization review and/or case management experience is preferred
-Prospective, retrospective and concurrent review of inpatient admissions, outpatient procedures, homecare services and durable medical equipment
-Coordinate care and facilitate discharge to an appropriate level of care in a timely and cost-effective manner
-Identify and refer quality issues to Quality Improvement
-Identify and refer appropriate members for Care Management
-Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care
-Provide guidance to non-clinical medical management staff
-Provide guidance to and assist with oversight of LPN and LISW medical management staff
-Attend medical advisement and State Hearing meetings, as requested
-Assist Team Leader with special projects or research, as requested
-Perform any other job related instructions, as requested
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