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...
communication and providing updates on clients across sites. Properly report any suspected cases of abuse. Support clients...
/disabled person’s improvement and treatment effectiveness. Independently manage workload, including prioritizing cases... and deciding how best to manage cases effectively. Complete other duties, such as attend injured worker’s appointments when...
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...
and expert court testimony as needed. Coordinate and attend psychological and medical evaluations required for cases. Maintain...
Overview: PURPOSE STATEMENT: Manage the client's/patient's/resident’s cases with a solid background of clinical...
Manager will work closely with attorneys and clients to ensure the smooth progression of legal cases from intake to resolution... Assist attorneys in preparing for mediation, arbitration, and trial Ensure deadlines are met and cases progress efficiently...
. · Provide the clinical information necessary for the appeals process of cases for which a denial of care or services has been...
identifies and refers cases to the physician advisor to support timely progression of patients along the continuum of care...
and hospital staff on discharge. May coordinate and supervise Air & Ground transportation. Coordinates and supervise cases...