) and coordinates those member’s cases (serving as the single point of contact) with the clinical healthcare management...
cycle of assigned member and/or provider appeals and grievance cases. Working under general supervision, this role conducts...
situations to department leadership. Identifies and promptly reports high cost cases for reinsurance. Maintains confidentiality...
, this is a hands-on leadership position, and the Director is expected to understand the team's patients, support complex cases... a multidisciplinary team of RN and Social Work Case Managers Maintain visibility into active patient cases and assist with complex...
presence and a focus on personal injury and mass tort matters. The firm handles a wide range of complex cases involving... will also be considered. Proven ability to negotiate favorable settlements and assist with moving cases efficiently toward resolution...
in difficult cases, assist during periods of low census or staffing constraints, and actively support safe and effective discharge..., timely, and appropriate patient discharge plans Maintain awareness of active patient cases and provide direction on complex...
presence and a focus on personal injury and mass tort matters. The firm handles a wide range of complex cases involving... will also be considered. Proven ability to negotiate favorable settlements and assist with moving cases efficiently toward resolution...
. Conduct thorough chart assessments of patient cases and bedside evaluations to determine the clinical picture and hospice...
, and federally funded programs (e.g., Medicaid, Medicare, and Disability) and/or refers to appropriate community agencies in cases...
cases and provide guidance on complex discharge situations Support regulatory compliance, documentation standards...