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Case Manager RN - 780018
DescriptionFive years recent relevant clinical experience in an acute care facility required.Strong Interpersonal skills and ability to work with patients, families, providers, peers, and other departments required.Ability to use word processing and computer spreadsheets and other computer-based programs required to do the job. Excellent communication and problem-solving, and critical thinking skills.Strong patient education abilities.Knowledge of and experience with InterQual® Level of Care Criteria, experience in automated InterQual® preferred.Knowledge of the regulatory environment, including Medicare Conditions of Participation, DNV standards, HIPAA, and reporting requirements.Submits appeals in a timely
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