The Case Manager is responsible to assist in the development, planning, coordination and administration of the activities of Utilization Review and Discharge Planning. Including but not limited to daily review of medical records to determine appropriateness and medical necessity of admission, continued hospital stay and use of diagnostic services.
In this role, you will acts as a liaison between patient/family and healthcare personnel to ensure necessary care is provided promptly and effectively. Relies on experience and judgment to plan and accomplish goals.
In this position, you will develop a comprehensive service plan for the Advantage member. The service plan is developed to utilize the members strengths, supports and available resources and is outcome focused.