RN Case Manager: Care Coordination & Utilization Review

Ahhmgt; Leesville (LA); On-site; USD 65,000 - 75,000; Full time

Job summary

Ahhmgt is seeking a Case Management RN to lead the utilization review and resource management efforts across the facility. The role involves planning, coordinating, and administering activities that support quality and cost-efficient patient care.

The incumbent will conduct daily chart reviews to determine medical necessity for admission and ongoing hospital stays, and will collaborate with clinical teams to optimize patient flow and outcomes.

Qualifications

• RN license preferred and active.
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Responsibilities

• Directs utilization review and resource management activities.
• Reviews daily medical records to assess admission/continuation/medical necessity.

Skills

Team Player

Detail Oriented

Education

Registered Nurse license

Job description

Ahhmgt is seeking a Case Management RN to lead the utilization review and resource management efforts across the facility. The role involves planning, coordinating, and administering activities that support quality and cost-efficient patient care.

The incumbent will conduct daily chart reviews to determine medical necessity for admission and ongoing hospital stays, and will collaborate with clinical teams to optimize patient flow and outcomes.