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Case Manager II
PRIMARY FUNCTION: Oversees the utilization of healthcare resources, including discharge planning to facilitate the achievement of clinical, quality, financial and patient satisfaction goals. PRINCIPAL DUTIES AND RESPONSIBILITIES: UTILIZATION MANAGEMENT Performs admission and concurrent review to identify medical necessity, level of care and appropriateness of setting using established criteria and clinical guidelines within 24 hours of admission (excluding weekends/holidays). Reviews the admission assessment, collaborates with primary nurse and other health care providers to ensure a multidisciplinary plan-of-care is in place to meet identified patient care needs and desired o


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