Summary Registered Nurse / RN Case Manager is responsible to facilitatecare along a continuum through effective resource coordination to help patient achieve optimal health, access to care and appropriate utilization of resources balanced with the patient�s resources and right to self-determination. Registered Nurse / RN Case Manager has overall responsibilityfor ensuring that care is provided at the appropriate level of care based on medical necessityand to assess the patient for transition needsto provide timely throughput, safe dischargeand prevent avoidable readmissions.Registered Nurse / RN Case Manager integrates the national standards forcare management scope of services including:Utilization Management supporting medical necessity and denial prevention; Transition Manageme