identified as high risk, high cost, or high utilization cases. May review alternative treatment plans for case management...
with communities, community partners, and organizations. Extensive knowledge and ability to actively view and engage in all cases...
problems and resolve cases. Manage customer complaints that result in replacements for returned products Report out on status...
problems and resolve cases Manage customer complaints that result in replacements for returned products Report out on status...
, treatment, and length of stay of patients. Takes appropriate action when cases do not meet criteria - coordinates denials...
About The Role Brighton Health Plan Solutions (BHPS) provides Case Management services to its clients. Cases... for Case Management. Determines appropriate care level and resource utilization for complex cases. Facilitates discharge...
control of client caseload. Ability to effectively and efficiently work on multiple cases at the same time...
-payment status; to refer cases to management as appropriate; and to maintain and update LTD database. ESSENTIAL FUNCTIONS... to LTD Manager for reporting purposes. Refers cases to LTD Supervisor, LTD Manager, or Project Manager as appropriate...
review on all cases that require review of whose payer status has not changed. Notifies manager if reviews are incomplete...
that children and families are recognized and provided with culturally responsive and appropriate services. You will serve on cases... knowledge and ability to actively view and engage in all cases through a Trauma informed lens. Knowledge of community...