JOB SUMMARYThe Care Manager RN 1 QA will be responsible for assessing and coordinating patient care across the continuum, utilizing accepted criteria and guidelines to manage benefits and determine medical necessity of services provided. This position will function as a clinician, case manager, and educator to achieve optimal clinical and quality outcomes by effectively managing care and resources to reduce unnecessary utilization.ESSENTIAL FUNCTIONS OF THE ROLEAssesses plans, implements, documents, coordinates, monitors, evaluates and updates the plan of care by collaborating with all members of the health care team to provide evidenced based care.Establishes patient care management plans, interventions, treatment goals and self-manage
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Case Management Society of America 5034A Thoroughbred Lane Brentwood, TN 37027