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Lifepoint Health
Overview
The Case Manager is responsible for conducting initial assessments, developing individualized treatment plans, and coordinating patient care within an inpatient rehabilitation facility. They also manage insurance pre-certifications and provide essential education to patients and their families to support functional independence.
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Compensation
Salary not listed
Posted
1 month ago
PROGRESSIONS INC
Conduct continued stay reviews of medical records using pre-established criteria to secure payment certifications from third-party payers. Coordinate reviews and appeals while maintaining accurate documentation and communication with treatment teams and insurance carriers.
$28 - $35 / HOUR
UHS
The Utilization Review Coordinator is responsible for reviewing patient charts to identify service utilization and obtaining insurance certification for hospital stays. They ensure that all clinical documentation is reviewed appropriately to facilitate the authorization process.
Loretto Hospital
The LCSW is responsible for assessing patient needs, developing treatment plans, and coordinating clinical management from admission to discharge. They provide individual, family, and group therapy while ensuring compliance with hospital and regulatory documentation standards.
$70,000 - $90,000 / YEAR
2 months ago
The Utilization Review Specialist facilitates clinical reviews for all patient admissions and continued stays, analyzing records to determine the legitimacy of treatment and length of stay while interfacing with payers. This role involves advocating for patients with substance abuse or psychiatric disorders to secure necessary treatment coverage and assisting the treatment team with insurance requirements for continued stay and discharge planning.
The Case Manager will participate in pre-admission screening, develop individualized treatment plans, and provide age-appropriate therapeutic interventions while evaluating patient and family responses to treatment. Responsibilities also include documenting patient care progress, establishing therapeutic relationships, and obtaining necessary insurance pre-certifications.
3 months ago
