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RN Case Manager - Case Management

Rady Children's Health · San Diego, US · $98,032

JOB SUMMARY: Case Managers function as liaisons between patients, their families, payors, and healthcare personnel to ensure appropriate movement along the continuum of care.

Their focus includes coordinating discharge needs, quality of care, and implementing the utilization management process for acute inpatients.

Case Managers perform concurrent review and denials management based on acute care guidelines with a focus on authorization and reimbursement, appropriateness of admission, length of…