Assesses member needs from the time the health plan is notified of a hospital admission, skilled nursing facility admission or an observation bed stay through the discharge or transfer to the next level of care. Identifies needs and solutions in concert with the facility staff, member and caregiver to develop a high-quality safe discharge plan. Works with the authorization and utilization management teams to generate timely requests for medical services and renders clinical determinations in accordance with healthcare policies as well as applicable state and federal regulations.
$77,200.00 - $96,500.00 Annual
What We Provide
What You Will Do
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