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Nurse (Utilization Management Case Manager)
The Utilization Management Case Manager is assigned to the Inpatient and Emergency Services Division of Portland VA Medical Center. The Utilization Management (UM) Case Manager is a professional RN with advanced skills and sophisticated knowledge of patient treatment and care planning across the patient care continuum, and has experience in a variety of clinical settings/levels of care. The UM Case Manager functions as a reviewer of patient admissions and continued stay hospital days as a member of the interdisciplinary team. The UM Case Manager assesses, plans, implements and evaluates the care of hospitalized patients applying lnterQual criteria using the designated computer-based format. The UM Case Manager refers variances for secondary review and to the Physician Advisor for approval


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