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PAGNY - Correctional Health Services

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Utilization & Case Management Nurse Manager
Nemours is seeking a Full-Time Utilization & Case Management Manager to join our team in Wilmington, DE! The Utilization and Case Management Manager provides daily operational supervision and leadership for staff in both the Utilization and Nurse Case Management teams. Oversees all inpatient care activity pertaining to the appropriateness of admission and continued hospital stay in accordance with medical necessity and Interqual/Indicia guidelines. Provides oversight of all discharge planning functions performed within the Department, with the goal of safe, sustained discharge to the next level of care. Ensures communication of clinical patient information to the insurance companies necessary fo


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