Case Coordinator / Nurse-Case Management

This position will coordinate with the multidisciplinary team and any other appropriate and accredited healthcare provider in the provision of quality patient care, under the guidance and supervision of the Senior Case Coordinator. The case coordinator will coordinate appropriate providers and access appropriate services to progress the patient’s episode of care in a timely manner.

• Maintains active communication with physicians, nursing, and other appropriate members of the multidisciplinary team for the appropriate patient care management.
• Participates in regular communication and feedback with Senior Case Coordinator.
• Manages evidence-Based Medical Necessary screening criteria in support of admission and continued stay reviews and communicates with payers as necessary.
• Determines Correct Level of care placement- utilization management.
• Provides accurate medical documentation and ...