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    Case Manager Registered Nurse

    Permanent RN/Case Mgr job in Abilene, Texas with Client for (SVAM International Inc)

    Shift Details: Mon-Fri 8am-5:00pm Fantastic opportunity for Case Manager RN at a beautiful facility located near Abilene, TX For 9... View job

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    Nurse Administrator - Patient Centered Care

    Permanent RN/Case Mgr job in New York, New York with NYC Health + Hospitals

    Empower Every New Yorker — Without Exception — to Live the Healthiest Life Possible NYC Health + Hospitals is the largest public health c... View job

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Case Manager / Utilization Review Nursing

Case Management nurses (also called Utilization Nurses) are usually nurses that have previously worked as a floor nurse. From the moment the patient enters the healthcare facility, the case manager is planning their discharge. These nurses have thorough knowledge of billing, Medicare, Medicaid, and community services. It is the case manager's job to ensure that the patient's care follows the proper guidelines for reimbursement from insurance and that the patient receives efficient and complete care according to the standardized plan of care for the patient's specific illness. Case managers review patient's charts for daily updates from the interdisciplinary team and coordinate team care. Case managers also ensure that consulted physicians assess the patients in a timely manner. Nurses in this capacity may also arrange for medical device and services companies to visit the patient in the hospital and/or the home should the patient need home-going oxygen or assistive devices such as a walker.

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