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Trios Health Case Manager - RN - SIGN ON BONUS AVAILABLE in Kennewick, Washington

The Case Manager coordinates utilization review functions to comply with hospital procedures and federal regulations. Ensures compliance with Medicare Conditions of Participation, as well federal and state regulations as it relates to utilization review and discharge planning. Functions as the liaison between payers and physicians to secure payment approvals/authorizations and prevent denials. The Case Manager communicates with payers regarding level of care at intervals required by payers. They are accountable for the entry, tracking and analysis of all Utilization Management Module data. Case Managers initiate patient notices as required, including Important Message from Medicare, Medicare Outpatient Observation Notice, Patient Choice and Notice of Non-Coverage. Actively participates in IDP rounds. Is responsible to assess, develop and implement discharge plans for the patient. Follows all Case Management and hospital policies and procedures. Minimum Requirements: At least an Associate's degree, current WA State RN or LPN licensure and at least 2+ years' recent hospital experience.