In this role, you will develop and implement a case management plan in collaboration with the member, caregiver, physician and/or other appropriate healthcare professionals and member's support network to address the member needs and goals.
In this role, the selected candidate will provide effective vendor management when assessing or managing cases. This includes appropriate timing of vendor use, cost benefit, vendor selection and vendor purpose
In this role, you will communicate in an active, positive and effective manner to all health care team members and reports pertinent patient care and family data in a comprehensive and unbiased manner, listens and responds to the ideas of others.
In this role, you will be actively participates in the collaborative program which requires review of patient activities related to medical necessity of hospitalization, appropriateness of length of stay, timely and appropriate utilization of services rendered, and identification of patient needs related to patient care following discharge.