To perform this jobsuccessfully an individual must be able to perform each essential dutysatisfactorily and be able to demonstrate knowledge and skills necessary toassist the CM coordinate resource utilization within the continuum of care thatis appropriate to the age and needs of the patients served by the program. Mature professional with high level ofpersonal energy and professional motivation.Knowledge of payer requirements vendor services and the systems andprocesses related to obtaining those services.A commitment to costeffective patient care and patient education isessential as is the ability to work independently within a teamorientedstructured environment. Excellentinterpersonal and communication skills.Ability to operate telephone equipment computer fax machine copymachine and calculator.Requires the ability to simultaneously track andcoordinate multiple details. Ability todiscern important details and facts from fastpaced conversation and availabledocumentation. Ability to consult withothers. Good critical thinking skills;creative organized approach to all work tasks.
HS Diploma required.
Supports the Case Manager in coordinating negotiating procuring and managing resources to support the care of complex patients in facilitating achievement of quality care and patient cost outcomes. Works collaboratively with interdisciplinary staff internal and external to the organization to ensure efficient utilization of health care resources including but not limited to acute intermediate and chronic care services specialty programs and services utilization of healthcare personnel and material resources. Participates in quality improvement and evaluation processes related to the management of patient care. |