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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 * Some information such as the email and phone number are hidden unless you are registered and logged-in
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