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Care Management Resource Coordinator
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Full-time
- Position Summary The Care Management Resource Coordinator supports the efforts of Social Work, Case Management and Utilization Management professionals by performing a wide range of administrative duties that promote a positive patient-family experience during hospitalization, facilitate safe and timely discharge of patients, and reduce risk of unfunded services or excessive cost to patients-families.
- The Resource Coordinator interacts directly with patients and families, other healthcare organizations and suppliers, and third-party payers.
- i) Maintains complete and accurate patient resource materials, including primary care providers by payer source (including free and low-cost clinics), WIC information, housing resources, and other social services.
- Supports Utilization Management activities a) Reviews and organizes materials faxed to department, prepares daily reports and other materials, and distributes/directs to appropriate Utilization Management nurse.
- b) Receives and reviews third-party payer requests for concurrent review and notifications of denied hospital days; routes to appropriate Utilization Management nurse.
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