and treatment effectiveness. Independently manage workload, including prioritizing cases and deciding how best to manage cases...
and implements discharge plan on cases assigned with patient and/or family/so caregiver. * Identifying patient preference...
healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN: Case... Manager. Is accessible to the healthcare team as a resource. Appropriately refers cases to manager/director of care...
plans by managing a caseload of client cases and administering the policies and procedures of the program as directed by the...
is responsible for managing arbitration cases from intake through closure, ensuring compliance with procedural requirements, service... of settled or withdrawn cases and hearing awards and close cases within established timeframes Maintain accurate electronic...
/ Drug Autism Spectrum Disorders (ASD) etc. How you will make an impact: Responds to more complex cases and account...
for patient and family by providing intervention in cases involving child abuse and neglect, domestic violence, elderly abuse...
. · Provide the clinical information necessary for the appeals process of cases for which a denial of care or services has been...
. Monitors clinically high risk and complicated cases and institutes necessary actions to promote quality care and appropriate... integration. Accepts referrals and identifies patients who meet the criteria for case management. Coordinates cases...
and Intensity of Service based on Industry Standard Criteria. The UM-RNCM refers cases not meeting MCG Criteria to the physician... advisors and follows through on cases to assure regulatory compliance. Clinical information is relayed to the managed care...