Manager, Care Transitions and Utilization Review

The Manager, Care Transitions and Utilization Review facilitates patient education, assessments, and counseling within hospital clinical departments to ensure high-quality, cost-effective care. This role involves conducting comprehensive utilization reviews, coordinating medical necessity assessments, and collaborating with physicians and payers to optimize service delivery. The position requires a Registered Nurse with experience in acute care, utilization review, or case management to manage patient admissions and discharge planning.