The VA Pacific Islands Health Care System Nurse Case Manager possesses thorough knowledge of InterQual criteria, utilization management processes, clinical documentation requirements, current standards of care, and compliance guidelines. Accountable for utilizing critical thinking skills and sound judgment to ensure positive outcomes, maximizing third-party collections and delivering quality patient care performance improvement activities. The Nurse Case Manager will develop and coordinate seamless transitioning of patients throughout the inpatient and outpatient care process with a focus on discharge planning needs. He/she demonstrates knowledge and ability to apply principles of evidence-based practice. Will provide support at the unit level, the service level
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