Caregiving professional with experience in providing quality care for elderly clients. Develops tailored care plans meeting unique needs of clients. Passionate about providing clients with high-quality care to improve quality of life.
The primary function of this position is to coordinate the referral process for the Practice and assure that the patients’ needs are met in a timely and efficient manager. It is a required function to not only interact directly with the patients in making referrals, but physicians, managed care organizations and co-workers, ensuring that the referral process is precisely complete. This position requires informing practice support staff about referral protocols. This person oversees the paperwork associated with the referral process-from the referral forms to the completion of the completion of the referral logs and submitting of the monthly reports. Calling insurance company to verify benefits, eligibility and present
The Case Care Management Assistant provides a variety of administrative functions and customer service for the
Case/Care and Utilization Management functions. The Assistant process service request, authorizes referrals as
appropriate, and ensures all case date is correctly entered in the various systems. The Assistant calls beneficiaries to
schedule appointments, contacts providers to gather information, and responds to beneficiary/provider question and
requests. the Assistant collects, compiles, and analyzes data and information and distributes reports as directed. The
Assistant collects compiles and analyzes data and information and distributes reports as directed. The Assistant
also provides department administrative support such as scheduling meetings, distributing/preparing
correspondence, faxing documents transcribing notes, and preparing reports. Experienced in diagnostic codes to
locate military treatment facilities (MTF) for active duty service members and family members. Extensive experience
with obtaining authorizations for inpatient and outpatient care for Behavioral Health including IOP, PHP and rehab.
Adept at data entry and reporting for hospital and clinical requests for admission. Excellent leadership, problem
resolution and team collaboration.