RN Case Manager / Concurrent Review

Review inpatient admissions to assure appropriate level of care and medical necessity for members.

100% Onsite/Telephonic 

Review inpatient admissions to assure appropriate level of care and medical necessity

Review admissions through telephonic review to ensure medical necessity and appropriate level of care

Review and audit patient charts

Act as clinical resources to referral staff and make appropriate referrals

Provide patient and provider education

Data enters assessments, authorizations and reviews into the system