Registered Nurse (RN) - Case Management
and sending concurrent reviews to payors with an authorization process Closes open cases on the incomplete UM Census Completes...
and sending concurrent reviews to payors with an authorization process Closes open cases on the incomplete UM Census Completes...
on the side of the cases Shrink wraps and labels with correct truck, stop and other required information. Stages pallets...
certification and prior authorization as appropriate. Refers cases when appropriate to physician advisor for medical necessity...
patient care, including complex cases, ensuring services are timely, effective, and aligned with the plan of care. Maintains...
written case records and reports. Manage cases to ensure that follow-up care is provided. Coordinate and schedule.... Prepare and maintain written case records and reports. 6. Manage cases to ensure that follow-up care is provided. 7...
informational reports for submission to the proper investigative resource in cases of suspected fraud. Verifies the pertinent... Department's electronic document management system. Document all actions taken on applications and cases within CBMS. Performs...
. 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...
effectiveness Attends doctors, other providers, home and in some cases, attorney’s visits Attends hospital and/or long-term...
in meeting goals and objectives, presents cases at interdisciplinary case conferences Utilizes case management processes...
complex cases, in a manner which ensures the efficient and effective delivery of appropriate services and community supports...