…to help patients achieve optimal health, access to care, and appropriate utilization of resources, balanced with the patient's resources and right to

…team and utilization management team. The Care Management Associate will review eligibility and benefits and open pre-certification cases and either approve or

…billing activities, and patient interactions. Generating reports on financial assistance utilization , reimbursement trends, and other key metrics for management

…throughput while supporting a balance of optimal care and appropriate resource utilization . + Identify potential cause(s) of delayed wound healing. + Review

…planning while supporting a balance of optimal care and appropriate resource utilization . The Care Transitions Navigator will identify potential barriers to patient

…care plans to maximize healthcare outcomes and facilitate wellness with periodic review and update according to department protocols. + Perform medication review

…clinical competency and adherence to policy through practice analysis and case review of APPs with physicians. + Investigate and respond to patient/family complaints

…Process In-Basket appointment requests and referrals in work queues. + Review self-scheduled appointments for accuracy and make corrections, contacting patient when

…throughput while supporting a balance of optimal care and appropriate resource utilization . + Identify potential cause(s) of delayed wound healing. + Review

…behavioral analysis, and outpatient treatment health benefits through telephonic or written review . **How will you make an impact** Primary duties may include, but