Case Manager RN

Skills:Skills marked with * are preferred Work Settings Acute Hospital Ambulatory* Behavioral Health* Home Health* Hospice* Insurance Company* Long Term Acute Care/Rehab/Skilled Nursing* Case Management/Utilization Review Admission Criteria Benefits Eligibility Care coordination Data Abstraction* Determine Medical Necessity per Evidence-Based Guidelines* Disability case management* Discharge Planning Disease management* Needs Assessment/ Order DME Plan of Care Prior Authorizations Utilize InterQual Criteria* Worker's comp case management* Acute Hospital Experience by Specialty Behavioral Health* ER* ICU* MS NICU* Pediatrics* SDU/PCU/IMC/Obs* Regulatory CMS: Centers for Medicare and Medicaid Services CPT (Current Procedural Terminology) coding and billing* Department of Health* DRG (Diagnosis Related Groups) HIPAA (The Health Insurance Portability and Accountability Act) ICD 10 Coding* NCQA (National Committee for Quality Assurance)* OSHA: Occupational Safety and Health Administration T...

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