weekly discharge planning meetings, presenting cases for review, discussing patient goals, episode counts, and readiness...
patient education to assist with self-management Interact with Medical Directors on challenging cases Coordinate care...
Position Scope: Manages/coordinates an active caseload of case management cases for Cigna Medicare. Uses clinical...
programs, visit our . JOB SUMMARY: This position performs customer support and attends Court for child support cases...
risk of denials by continued management of all assigned cases from admission to discharge. Responsible for managing.... Follows department processes for management of denied cases, refers these cases for Peer to Peer or for VH appeal. Sends...
accordance with applicable regulations. - Render medical necessity determinations for cases assigned. - Resolve... all other technical issues within reconsideration assigned. - Review cases or sites assigned to determine and summarize facts and assess...
to: Manage a diverse caseload of children and families that require ongoing service provision to ensure safety. These cases may... involved cases and manage your schedule to accommodate your caseload. Respond to situations decisively and effectively...
for guidance with psychosocially complex cases. The RN Case Manager is also responsible for facilitating coordination of care. The... Health. Serves as a resource for discharge planning and care coordination for medically complex cases. Maintains current...
’s. Notify partners of active cases and work with partners, including answering questions throughout case to closure. Coordinate... either electronically or via Fed Ex. Monitor cases and work with payers resolving any claims issues or payment disputes until payment...
and written - ability to facilitate and collaborate with an interdisciplinary team - flexibility to manage multiple complex cases...