Description
Seeking an experienced case manager with over five years of experience in an acute hospital setting. The role involves performing and documenting patient assessments, managing prior authorizations, coordinating with various payers, developing care plans, and ensuring efficient service utilization. Responsibilities also include evaluating patient conditions for discharge, managing transfers and guardianship processes, educating patients and families, participating in continuous improvement programs, scheduling peer-to-peer reviews, and proactively addressing potential denial issues.
