of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical...
and medically complex cases. The case manager is responsible for coordinating and collaborating care with the member/authorized...
of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical...
and manages complex case management cases and develops individualized plans of care according to NCQA standards/ guidelines... worker's compensation cases etc. Identifies quality risk or utilization issues to appropriate MedStar personnel. Identifies...
serves as a resource for complex cases, escalates barriers to care, and fosters a culture of accountability, excellence...
of admissions and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical...
overall quality and efficiency of care Seeks out and/or provides peer consultation about cases that are presenting problems...
and continued stays to ensure a clear status determination. Refers cases and issues to Case Management Medical Director based...
necessity documentation, and escalate cases as needed. This position plays a key role in educating patients, families...‑of‑stay goals. You will also collaborate closely with Social Work on complex psychosocial cases, lead care conferences...
with supervisor and other care partners to overcome barriers in meeting goals and objectives, presents cases at case conferences...