Responsible for coordinating the care of patients across the continuum, ensuring and facilitating the achievement of quality, clinical and cost outcomes.
Works collaboratively with physicians, social workers, registered nurse and other members of the interdisciplinary team as needed.
Review charts for appropriateness of admission/continued stays.
Conducts follow up of any delay in treatment delivery or reporting of results.
Monitors the effectiveness and timeliness of interventions and desired outcomes, and makes changes as needed in collaboration the team.
Communicate with various departments when indicated to ensure tests that were ordered, are completed and followed up on.
Communicates clinical information to payor as needed, coordinating direct communication between physician and payor medical director as required.