RN Case Manager: Utilization Review & Care Coordination

Augusta Health in Fishersville, VA seeks an Utilization Review RN Case Manager to determine patient status by applying medical necessity criteria and regulatory standards. You will collaborate with admitting providers and the Utilization Management Physician Advisor to ensure compliant patient status and appropriate level of care.

Key responsibilities include participating in multidisciplinary rounds, securing reimbursement from payers, and ensuring timely submission of clinical information.