Description
The Case Manager 1 directs utilization review of patient charts, treatment plans, and discharge planning; evaluates medical necessity and appropriate levels of care; coordinates with physicians, third-party payors, and community resources; and supports reimbursement optimization, denial and appeal resolution, and cost-effective quality care. The role requires three years of general or specialty nursing practice, an associate's degree, and a current unrestricted Louisiana State License as RN.
