RN-Case Manager

Acute Hospital,Care coordination,Discharge Planning,Needs Assessment/ Order DME,Plan of Care,Data Abstraction,Medical NecessityAdmission Criteria,Appeals and Denials,Concurrent Review,Continued Stay Reviews,Determine Medical Necessity per Evidence-Based Guidelines,Pre-Cert Review,Prior Authorizations,Retrospective Review,Utilize InterQual Criteria,Utilize Milliman Guidelines,Admission Criteria,Appeals and Denials,Concurrent Review,Continued Stay Reviews,Pre-Cert Review,Prior Authorization,Quality Improvement,Retrospective Review,Utilize InterQual Criteria,Utilize Milliman Guidelines,CMS: Centers for Medicare and Medicaid Services