RN-Case Manager

Acute Hospital,Telephonic,ICU,MS,PICU,Surgical Services,Admission Criteria,Benefits Eligibility,Care coordination,Concurrent Review,Continued Stay Reviews,Discharge Planning,Disease management,Needs Assessment/ Order DME,Plan of Care,Prior Authorizations,Retrospective Review,Utilize InterQual Criteria,Admission Criteria,Concurrent Review,Continued Stay Reviews,Medical Necessity,Prior Authorization,Utilize InterQual Criteria,CMS: Centers for Medicare and Medicaid Services,DRG (Diagnosis Related Groups),HIPAA guidelines (Health Insurance Portability and Accountability Act),The Joint Commission/ Core Measure/National Safety GoalsAmbulatory,Behavioral Health,Behavioral Health,Emergency Department,SDU/PCU/IMC/Obs