stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary...
and after changes in condition or orders Conduct wellness calls for new admissions, imminent cases, and random check...
. Proactively identifies delays and obstacles to care and works to remedy individual cases and improve processes. Provides... and recovery skills. Skills in Coordination of patient cases within integrated team. Active listening, critical thinking...
, and cost effectiveness Attends doctors, other providers, home and in some cases, attorney’s visits Attends hospital...
Responsibilities : Analyze arbitration pleadings Appoint arbitrators to cases Electronic file management Discuss administrative... and working under available supervision. Manages individual case assignments. Analyzes assigned cases for accuracy...
of Health Services on cases of complexity with treatment plans or out of network services. 10. Completes clinical reviews...
, psycho-social and psychiatric evaluations. Monitors cases by verifying patient attendance, observing, and evaluating...
working with substance abusers, as it relates to case management. Present verbally a synopsis of actual cases...
of admissions, continued stay, and discharges. The case manager refers cases, as appropriate, for review to the Combined Resource...
to release from ISAP. Proactively manages cases using all appropriate tools and techniques. Maintains confidentiality...