Reporting to the Director of Case Management, the Utilization Review Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review. Including, but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of ancillary services.
Bachelors preferred; associates in nursing required.
Three years experience in case management or utilization management preferred. Registered Nurse with at least one year clinical experience on a medical/surgical unit with excellent communication skills and ability to work collaboratively with all members of the health care team.
Registered Nurse License
Crestwood Medical Center - 24 months ago