to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality...
access related patient cases. This individual will share insights and collaboratively coordinate services with internal... cases specific to benefit verifications, product procurement processes, reimbursement information, billing, coding...
necessary authorization for reimbursement of services. -Review cases with medical directors on challenging cases...
Case Manager will offer clinical expertise, acting as a liaison in disability cases, and utilizing MDGuidelines to support... and accommodation cases. Delivering case presentations to a panel, utilizing compelling communication, critical thinking, negotiation...
needs within payer and system processes. Manage complex cases with accountability for timely interventions, risk mitigation...
necessary authorization for reimbursement of services. -Review cases with medical directors on challenging cases...
. Tasks: Reviews all cases within 24 – 48 hours or the next business day of admission/bed placement and each day throughout...
modified or alternative duty options when appropriate Manage cases in compliance with state-mandated treatment guidelines... or refer cases to alternate vendors when appropriate and compliant with statutory requirements May provide guidance...
and appropriate medical care throughout their cases. Responsibilities: Independently manage treatment in personal injury cases...
) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management...