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Current working knowledge of discharge planning, utilization management, case management, performance improvement, disease or population management and managed care reimbursement. Assists in the collection and reporting of financial indicators including case mix, LOS, cost per case, excess days, resource utilization, readmission rates, denials and appeals.
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The Case Manager is responsible for the treatment and coordination of services to foster/adopt children and their biological families in conjunction with the foster/adopt family. Maintain accurate, timely, and complete case notes, billing documentation, treatment plans, progress notes and other documentation according to licensing, accreditation and agency standards.
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The case manager also updates this data in Meditech and communicates any changes timely to third-party payors to update authorization of ongoing medical care appropriate to patient needs. 2-3 years of experience in acute hospital case management, utilization management, or discharge planning of.
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This is a full-time, on-site role for a Medical Case Manager. The Medical Case Manager will be responsible for managing and coordinating the medical care of individuals, including assessing their needs, developing care plans, and advocating for their healthcare rights.
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