The RN Utilization Manager maximizes the components of the in-patient and out-patient settings by utilizing care coordination tools, criteria and protocols to:
- Provide members with chronic and acute conditions the support, education and assistance in the prevention and/or maintenance of their disease and/or health and wellness state;
- Increase member compliance with treatment plans;
- Engage community resources to support the member's optimal functioning; and
- Improve collaborative coordination of care to affect waste and inefficiency.