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RN Case Manager/Utilization Review

Morestaff Ltd
Stanton, TX Full Time
POSTED ON 1/4/2025
AVAILABLE BEFORE 2/2/2025
Responsibilities

We are seeking a PRN Case Manager for weekend shifts to evaluate the appropriateness and efficiency of healthcare services. Responsibilities include:

  • Reviewing medical records to assess admission criteria.
  • Ensuring patients receive appropriate care based on clinical guidelines.
  • Performing pre-authorization and ongoing reviews for medical treatments.
  • Collaborating with healthcare providers for care alignment.
  • Coordinating transitions of care with patients and families.
  • Monitoring hospital admissions, extended stays, and discharges.

Requirements include a nursing degree, Texas RN license, current BLS certification, and three years of nursing or social work experience. Strong communication and educational skills are essential.

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