Responsible for providing care and services of selected member populations across the continuum of illness. Ensures effective utilization and monitors health care resources. Manages the interdisciplinary team to achieve optimal clinical and resource outcomes. Works with the Supervisor/Manager of Case Management to assess, plan, implement, coordinate, monitor and evaluate services and outcomes to maximize the health of the patient.


Principal Accountabilities:


+ Manage, coordinate, and facilitate patient care through comprehensive patient and family assessments and multidisciplinary collaboration.

+ Perform daily chart reviews, utilization reviews, and coordinate discharge planning activities, ensuring thorough and accurate clinical documentation in the electronic medical record.

+ Lead and participate in interdisciplinary patient care rounds, identifying and resolving quality of care issues, barriers to care progression, and discharge del...