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The graph below is a comparison of Ambulatory Nurse Case Manager in 10 different States, as provided by the free SalaryExpert® Salary Calculator. If you are a professional who requires compensation survey data for your work please consult ERI Economic Research Institute's Salary Assessor.

Ambulatory Nurse Case Manager:
Works with enrollee's providers and caregivers in a health plan to provide intensive, comprehensive case management and increase efficient utilization of services. Typically requires Registered Nurse licensure with patient care experience. Certified Case Manager (CCM) certification may be required.

Identifies chronic... [+] More

Ambulatory Nurse Case Manager:
Works with enrollee's providers and caregivers in a health plan to provide intensive, comprehensive case management and increase efficient utilization of services. Typically requires Registered Nurse licensure with patient care experience. Certified Case Manager (CCM) certification may be required.

Identifies chronic or catastrophic cases through the case management process and initiates intensive case management according to program guidelines. Evaluates the medical necessity for elective inpatient hospital admission, and authorizes the admission along with the estimated length of stay. Consults with Inpatient Nurse Case Managers regarding existing case management enrollees as well as potential case management enrollees. Screens for the medical necessity of outpatient procedures, home medical equipment, medications, and any other service that requires precertification. Retrospectively reviews medical admission of categories of diseases and procedures. Makes recommendations for standards of care as necessary. Identifies quality indicators through the case management process. May direct abnormal lengths of stay to the Medical Director or Associate Medical Director. May perform on-site reviews for back-up to an Inpatient Nurse Case Manager. (Source: eDOT Job Description) [-] Less

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