1 jobs found in Iuka, MS

Review Activities: Monitors individual cases in relation to established criteria, LOS & patient care guidelines Assures patient is meeting level of care criteria & issues denial of care letters as necessary Intervenes as indicated to promote the timely provision of care & utilization of resources Serves as a resource for physicians & nurses in understanding criteria for continued stay & medical necessity Monitors patient outcomes to evaluate clinical & financial effectiveness Reconciles services rendered with patient benefits & communicates with physicians & 3rd party payers to assure appropriate reimbursement Manages/supervises social work and case management as a team to facilitate discharge planning needs of the patients. Clinical Practice: Collaborates with patient care team to move population along the continuum by effectively planning for continued care as...