Case Manager Nurse (USRN)

Job Opening For Case Manager Nurse (USRN) - Medical Billing

USRN Case Manager Nurse

The case manager nurse will regularly liaise with multiple clinical specialties and doctors. This role also involves consistent interactions with insurance providers, patients and their families, legal delegates, and representatives from other medical care institutions. Additionally, they will often communicate with nursing staff, billing teams, medical social workers, and personnel from various departments.

Primary Roles Responsibilities:

• Performs case management, including obtaining prior authorization for drugs and procedures according to hospital policy and procedures
• Promotes, coordinates, and takes responsibility for completion of all activities associated with case management
• Ensure that all patient information is handled in accordance with HIPAA regulations
• Ability to perform tasks in line with authorizations for outpa...