Cone Health is a state of the art network of facilities providing patients access to the latest developments in medical care from their first moments of life through later years. Our network offers the most breakthrough treatments and technology available in healthcare today. As a teaching hospital, we offer employees the opportunity to become leaders in the industry and continued growth from their first day on.

• Monitors patient care progress toward goals, makes recommendations and/or utilizes appropriate resources to optimize effective, efficient care progression and care plan goal achievement.
• Coordinates care transition from inpatient to next level of care. 
• Performs admission and continued stay utilization reviews and discharge screening to assure the necessity of hospital admission, appropriate level of care, continued stay and supportive services, appropriate safe discharge/transition plan, and to examine delays in the provision of services. 
• Collaborates with attending Physicians, Mid-level Providers or Department Medical Directors concerning status and/or medical necessity issues. 
• When criteria is in question, escalates care for second level Physician review when Department Director is unavailable.

Required:

• Bachelor's of Science in Nursing
• 3-5 years of recent related acute care experience required.

Preferred:

• 1-2 years of Case Management and/or Utilization Review experience.
• Current Case Management certification of CCM or ACM.