Experienced in Case Management/Utilization Management. Excellent reputation for resolving problems, improving processes, and driving overall operational improvements. Consistently saved costs while increasing profits.
Performance of clinical assessments for potential and current Westminster Services health center residents.
Negotiation for residents who are clients of managed care organizations. Liaison for community relations,
discharge planners, and physicians. Support all marketing efforts. Maximize cost effectiveness across the
entire continuum of care; improve customer satisfaction and enhance quality of care.
Discharge planning, liaison, authorization and coordination of covered services, and utilization review.
Responsible for conducting utilization and quality management activities in accordance with utilization
management policies and procedures. The position responsibilities include the management of medical costs
through timely prospective, concurrent and retrospective review activities.
Discharge planning, liaison, authorization and coordination of covered services, and utilization review.
Board Certified Case Manager (CCM)
Board Certified Case Manager (CCM)