Job description
The Case Managers are experienced Registered Nurses who interact with the patient, families, physicians and other members of the interdisciplinary team to facilitate quality and cost effective care. An essential component to all roles includes the evaluation of medical necessity and intensity of service of each admission to arrive at decisions regarding medical appropriateness for the requested level of care. Communicates with the various payers/insurance companies to authorize services and ensure appropriate reimbursement to the facility. Actively promotes collaboration among all interdisciplinary care providers, including physicians to effectively identify needs for continued inpatient care or appropriate alternate levels of care.