Torrance-Memorial-Medical-Center seeks an experienced Utilization Review Case Manager (RN) to review patient charts and validate appropriate levels of care using InterQual/MCG criteria. The UR CM secures payer authorization and communicates with payers throughout the stay, ensuring compliance with CMS and Joint Commission standards.
The role involves collaborating with RN Case managers, physicians, and external case managers, documenting thoroughly, and supporting denial prevention and discharge
#J-18808-LjbffrClinical Utilization Review Case Manager in torrance at Unknown Company
This position is listed as full time and onsite.