What are the responsibilities and job description for the Case Manager Utilization Review position at Broward Health?
Broward Health Corporate Spectrum - Department: Case Management
Shift: Shift 1 (Days)
FTE: 1.000000 (Full-Time)
Req #34780
Summary
Performs and monitors integrated concurrent utilization review and case referrals on patients consistent with the approved Utilization Review Plans. Works with medical and professional staff to obtain appropriate clinical documentation for review and optimal patient placement. Maintains contact with Managed Care and other third party payors to ensure appropriate case management.
Education
Essential:
Associate
Essential
Education specialization:
in a Nursing Program from an Accredited School of Nursing
Experience
Essential:
Two Years of acute hospital Utilization Review experience; or Foreign Medical Graduate with Utilization Review experience
Credentials
Essential:
Basic Life Support
Registered Nurse-LIC
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Bonus Exclusions may apply in accordance with policy HR-004-026
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