Working as case management nurse Working as case management nurse | allnurses

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Working as case management nurse

  1. 0 I am an occupational health nurse and will be interviewing for a position as a case management nurse with the responsibilities of core measure data abstraction and utilization review. Does anyone out there have experience in these areas? I sure would like to know what to expect!

  2. 2 Comments

  3. Visit  d'cm profile page
    #1 0
    I assume this is hospital based.. it sounds like a face in chart / computer screen review admissions for medical necessity against Interqual or Milliman and while you are in there do the QI review for core measures job. The big variable is: what do they want you to do when criteria or quality is not being met?
  4. Visit  adlockwood profile page
    #2 0
    In my opinion the question is, do you want to not see patients, and just work with computers, charts and data? That is what this would entail.