Oversees a staff of case managersresponsible forpatient care coordination. Develops and implements case management programs, includingutilization review, intake or discharge planning, and managed carecontracting or negotiation. Evaluatespatient care data to ensure that care is provided in accordance with clinical guidelines and organizational standards. Seeks treatments that balance clinical andfinancial concerns with the family's needs and the patient's quality of life. Relies on extensiveexperience and judgment to plan and accomplish goals. Performs a variety of tasks. Leads and directs the work ofothers. A widedegree of creativity and latitude isrequired. Typicallyreports to top management.
Requires certification as a registered nurse with at least 7 years of clinical experience. Familiar with standard concepts, practices, and procedures within a particular field.