NewCase Management Director Encompass Health Rehabilitation Hospital of MechanicsburgCase Management DirectorMillersville, PAJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewRegistered Nurse - Case Manager - Parkside Oak Street HealthRegistered Nurse - Case Manager - ParksideLancaster, PA$60,522–$142,576Manage transitions of care episodes for patients on their panel, including timely completion of structured clinical assessments to identify post-discharge needs, medication reconciliation on behalf of the PCP, and addressal of identified needs directly or via collaboration with other team members. In partnership with the primary care provider, (PCP), the RN, Case Manager is the lead for care management activities, drives care coordination and collaborates with interdisciplinary teams to ensure care continuity for complex patients.
NewCase Management Cognitive Retraining Specialist _2738 SevitaCase Management Cognitive Retraining Specialist _2738Lancaster, PA$20Examples of disciplines include: education, medicine, neuropsychology, occupational therapy, physical therapy, psychology, sociology, counseling, rehabilitation science, recreation therapy, social work, special education and speech-language pathology. In a variety of locations and community-based settings, we offer a range of programs, including vocational and therapy programs, day treatments, and specialized services for infants, children, adolescents, Military Service Members and Veterans.
NewBILINGUAL LEAD CASE MANAGER Abraxas Youth & Family ServicesBILINGUAL LEAD CASE MANAGERMorgantown, PA$0–$70,000Our employees play a vital role in helping individuals achieve greater independence, confidence, and success while promoting dignity, respect, inclusion, and personal choice. * Ensures accurate billing and statistical reporting for clients on caseload, and → monitors billing/statistical accuracy across the case management team, flagging discrepancies before submission.
Denials Management Assistant, Part Time St. Luke's Health Network, Inc.Denials Management Assistant, Part TimeAllentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Denials Management Assistant provides administrative and clerical support for the denials and appeals team by preparing, organizing, and submitting all levels of appeal documentation to payers within required timeframes.
NewManagement & Sales Training Program Sherwin-WilliamsManagement & Sales Training ProgramAllentown, PAThe wage range listed for this role takes into account the wide range of factors considered in making compensation decisions including skill sets; experience and training; licensure and certifications; and other business and organizational needs. You will grow the company’s market share by selling to large, commercial users such as painting contractors, purchasing agents, manufacturers, and other commercial users who need large volumes of our high-quality products.
NewTravel Nurse RN - Home Health - $1,936 to $2,225 per week in Lebanon, PA Fusion Medical StaffingTravel Nurse RN - Home Health - $1,936 to $2,225 per week in Lebanon, PALebanon, PA$1,936–$2,225Summary: A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
NewTravel Nurse RN - Home Health - $1,783 to $2,049 per week in Lancaster, PA Fusion Medical StaffingTravel Nurse RN - Home Health - $1,783 to $2,049 per week in Lancaster, PALancaster, PA$1,783–$2,049Summary: A Home Health Registered Nurse (RN) delivers direct nursing care to patients in their homes, ensuring comfort, stability, and effective management of their medical conditions. Home Health RNs assess patient conditions, develop care plans, administer treatments, and educate patients and caregivers on disease management.
NewTravel Physical Therapy Assistant (PTA) - $1,601 to $1,649 per week in Thorndale, PA AMN Healthcare AlliedTravel Physical Therapy Assistant (PTA) - $1,601 to $1,649 per week in Thorndale, PATHORNDALE, PA$1,601–$1,649Typical responsibilities include performing comprehensive evaluations, establishing and progressing individualized plans of care, providing manual therapy and therapeutic exercise interventions, delivering patient and family education, and coordinating care with referring providers and other health professionals. This position is well-suited for a physical therapist who enjoys working in a dynamic outpatient environment, values professional growth, and wants to build a strong clinical skill set while serving a diverse patient population in a vibrant suburban-urban corridor.
Outpatient Registered Nurse (RN) Care Manager, Part Time St. Luke's Health Network, Inc.Outpatient Registered Nurse (RN) Care Manager, Part TimeAllentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Ensures accurate clinical and patient care documentation in patient charts, completes reports and other requested/required patient documentation as needed, and maintains required statistical documentation for the department's management information system.
Behavioral Health Tech, In-Patient Behavioral Health and Recovery Center, Opportunities at Multiple Campuses (Full Time, Part Time) St. Luke's Health Network, Inc.Behavioral Health Tech, In-Patient Behavioral Health and Recovery Center, Opportunities at Multiple Campuses (Full Time, Part Time)Allentown, PAFull timeUnique Opportunity: The St. Luke’s Behavioral Health Network Float Pool provides support to the campuses where in-patient behavioral health services are rendered, as necessary to ensure appropriate staffing levels which allow our Behavioral Health Technicians (BHT) to provide top quality care to our patients. Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.
Director of Case Management - Care Management Tower Health Medical GroupDirector of Case Management - Care ManagementWest Reading, PA2022-2026: Americas 50 Best Hospitals Award Recipient of Excellence Award: Stroke Care, Neurosciences, Pulmonary Care, and Critical Care Magnet Status Level 1 Trauma Center Ranked Among Top Ten Hospitals in Pennsylvania 5-Star Rating for Overall Hospital Quality Vizient Graduate Nurse Residency Program for all new RN grads Comprehensive benefits to include earned time off, enhanced tuition assistance, retirement savings with employer match and so much more! Additionally, the system provides a wide range of healthcare services, such as Reading Hospital Rehabilitation at Wyomissing, home healthcare via Tower Health at Home, TowerDirect ambulance and emergency response, Tower Health Medical Group, Tower Health Providers (a clinically integrated network), and Tower Health Urgent Care facilities across its service area.
Manager Case Management RN or Social Worker (Full Time/Days) Penn MedicineManager Case Management RN or Social Worker (Full Time/Days)Lancaster, PAResponsible for overseeing the daily operations of the team and coordination of department needs which include timecards, benefit records, interviews, hiring, training, coaching and mentoring in coordinating case management activities across the continuum. Works closely with the Director in coordinating the daily activities of the case management department regarding overall clinical development, implementation and supervision of care management services to our patients and families.
NewCase Management Coordinator eTeam Inc.Case Management CoordinatorLancaster, PARemote$1.42–$23.57 / hourCollaborate with human services providers such as Head Start Programs, WIC, community centers, and homeless shelters, in the identification and outreach to members in need of services. • Have an appreciation of cultural diversity and sensitivity towards the Medicaid population with demonstrated expertise in topics related to cultural competency including working with members with limited English proficiency.
Case Manager - Supervisory The Chester County Intermediate UnitCase Manager - SupervisoryPA$2,026–$2,027This is a project position, working with Home and Community Services, responsible for arranging services to clients of Home and Community Services (commonly referred to as "Wraparound services") for pre-school and school aged children diagnosed with emotional/behavioral disorders. An individual with a Master's degree and at least one-years experience in a CASSP system (employed by or under contract to Children and Youth Services, Juvenile Justice, Mental Health, Special Education, or Drug and Alcohol working with children) school, or employed by a licensed mental health services agency or subcontracted agency.
Supports Coordinator - Case Manager Social Services - Allentown, PA Care LyncSupports Coordinator - Case Manager Social Services - Allentown, PAAllentown, PAFull timeCare Lync is a Social Services agency focused on providing Support Coordination (Service Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program. The Support Coordinator / Service Coordinator / Case Manager will assist the person(s) receiving services in identifying and communicating his/her requests and needs for services and supports, which may include housing, medical, social, vocational and other community services.
Supports Coordinator - Case Manager Social Services - Lancaster, PA Care LyncSupports Coordinator - Case Manager Social Services - Lancaster, PALancaster, PAFull timeCare Lync is a Social Services agency focused on providing Service Coordination (Supports Coordination/Case Management) services to adults diagnosed with Intellectual, Developmental and Physical Disabilities and Autism Spectrum Disorder throughout Pennsylvania who are enrolled in the Department of Human Services, Medicaid Waiver Program. The Service Coordinator / Support Coordinator / Case Manager will assist the person(s) receiving services in identifying and communicating his/her requests and needs for services and supports, which may include housing, medical, social, vocational and other community services.
Case Manager Kaleidoscope Family Solutions, Inc.Case ManagerNeffsville, PennsylvaniaContract Contact: KFS CareersOffice Email: corporatejobskfs@kfamilysolutions.orgOffice Phone: 888-704-6232Office Address: 950 E. Haverford Road, Suite 100B, Bryn Mawr, PA 19010. Clinical Coordinators are responsible for supporting individuals with disabilities by providing clinical management and oversight of the professionals who work with them, as well as building a relationship and overseeing the families and individuals on their caseload.
Blended Case Manager Holcomb Behavioral Health SystemBlended Case ManagerAllentown, PAFull timeA high school diploma and 12 semester credit hours in sociology, social welfare, psychology, gerontology, or other social science, and 2 years of experience in public or private human services with 2 years in direct client contact (1 year for Lehigh and Northampton counties). Clearances: Pennsylvania Child Abuse, Criminal and fingerprint-based federal criminal history; Verification that employee is not on any Medicaid/Medicare Exclusion listNote: At the discretion of the Personnel Officer, additional related experience and/or education may be substituted instead of the requirements specified under Education and ExperienceWhat's in it for you?
Case Manager Team Select Home CareCase ManagerLancaster, Pennsylvania$70,000–$85,000 / yearEnsures that the following information/instruction is given in writing to the patient/caregiver/representative: visit schedule with frequency of visits, complete medication profile, any treatments to be administered by agency staff (POC), any other pertinent instruction related to the patient’s care needs, name and contact information of the agency’s Clinical Manager. Acts as an advocate for patient welfare and coordinates care between patients, their families/caregivers and/or their authorized representative, the agency and other healthcare providers/facilities/ outside agencies.
Case Manager, Acute Rehabilitation - Per Diem, Primarily Mon-Fri St. Luke's University Health NetworkCase Manager, Acute Rehabilitation - Per Diem, Primarily Mon-FriAllentown, PAIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. This includes assessing, planning, implementing, coordinating, and evaluating health and community related services to meet a patient's physical, psychosocial, vocational, and health needs in a cost effective, outcomes-oriented, and timely manner.
Field Medical Case Manager I CorVel CorpField Medical Case Manager IPARemote$63,739–$95,264 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Blended Case Manager/Housing Specialist Community Action Lehigh ValleyBlended Case Manager/Housing SpecialistAllentown, PAFull timeA high school diploma or equivalent is required, and at least two years of experience in case management, social services, or a related field is preferred-but we also welcome applicants with equivalent experience and a strong passion for supporting families in crisis. Whether leading resident meetings, advocating for services, or planning enrichment activities, you'll play a vital role in creating a safe, supportive environment where families can regain stability and independence.
Field Medical Case Manager I CorVel Healthcare CorporationField Medical Case Manager IAllentown, PARemote$63,739–$95,264 / yearPart timeIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Blended Case Manager / Salisbury Behavioral Health RHA Health ServicesBlended Case Manager / Salisbury Behavioral HealthWyomissing, PennsylvaniaA Blended Case Manager will advocate for his/her client; help negotiate complex systems such as special education and social services; assist in maintaining and finding access to basic living needs and skills such as employment, housing, food, medical care and recreation and provide crisis intervention. Regular If you are a positive and personable individual looking for a satisfying and fun opportunity to make a real difference in the lives of people with intellectual, developmental disabilities, and people facing mental health, and substance use challenges, join our team at RHA Health Services!
CHAP Case Manager - Supportive Housing Department TenfoldCHAP Case Manager - Supportive Housing DepartmentLancaster, PAKey Qualifications: Minimum Education Requirements- Bachelor's degree in social work or related field strongly preferred; Associates degree in social work or related field plus one year of relevant experience required. Ability to speak, read, and write English required, Spanish preferred • Excellent communication skills, especially listening, mediation, and writing skills.
Hospice RN Case Manager: Full Time The Highlands At WyomissingHospice RN Case Manager: Full TimeWyomissing, PAPhysical Requirements and Physical Demands: While performing duties of this job, the employee is occasionally required to climb, kneel, pull with force, reach above head, reach above shoulder, push/pull (up to 100+ lbs.), lift from floor level up, lift from waist level up, lift above shoulders/head, ability to lift, push, pull with assistance (mechanical or co-worker) the weight of the average patient specific to department, Lifting 25 lbs. The Hospice RN Case Manager provides nursing care and case management to patients and families within and outside of The Highlands at Wyomissing campus.
Case Manager- Social Worker, Veterans Health Program Valley Health PartnersCase Manager- Social Worker, Veterans Health ProgramAllentown, PennsylvaniaProficient computer skills and ability to use the Electronic Health Record to maintain timely, accurate documentation and effective communication with clients, team members, and external partners. Ensures accurate and timely documentation of all client interactions in the Electronic Health Record for effective communication with clients, team members, and providers.
Case Manager- Social Worker, Veterans Health Program Valley Health Partners Community Health CenterCase Manager- Social Worker, Veterans Health ProgramAllentown, PAProficient computer skills and ability to use the Electronic Health Record to maintain timely, accurate documentation and effective communication with clients, team members, and external partners. Ensures accurate and timely documentation of all client interactions in the Electronic Health Record for effective communication with clients, team members, and providers.
Family Advocacy Case Manager JusticeWorksFamily Advocacy Case ManagerAllentown, PennsylvaniaOur ESOP gives employees an ownership interest in the company and a path to long-term retirement growth (at no cost to the employee)—meaning when the company succeeds, our employees benefit directly. In this role, you will serve as a primary point of contact for families, assess needs, connect them with critical community resources, and provide ongoing advocacy and support.
Hospice Registered Nurse Case Manager (RN) Suncrest HospiceHospice Registered Nurse Case Manager (RN)Pottstown, PennsylvaniaFull timeDetails: The Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
RN Case Manager - PRN Holisticare HospiceRN Case Manager - PRNWyomissing, Pennsylvania$40–$45 / hourAt Holisticare Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount.
Family Based Case Manager - Part Time Child & Family FocusFamily Based Case Manager - Part TimeAudubon, PennsylvaniaChild and Family Focus's Family Based Services assign a team of one Master level clinician and one Bachelor level case manager to work closely with clients in the home, school and community to address the child’s emotional struggles as well as the larger systemic issues contributing to troublesome behavior. Child and Family Focus has a part-time, Bachelor's level Case Manager position available in Montgomery County that give our teams autonomy and flexibility in a clinically rich environment, with the support of experienced leaders.
Case Aide The Salvation Army USACase AideAllentown, PAEmployer funded Pension Plan (company contributions begin after 1 year of employment) • Comprehensive health care coverage with low cost employee premiums, co-pays and deductibles • Eligibility for supplemental insurance plans including Short Term Disability, AFLAC and Voluntary Term Life • Flexible Spending Accounts • Remitted Tuition Program • Eligibility for the Federal Government's Public Student Loan Forgiveness Program • Most importantly - a job with a good purpose! Overview: The Case Aide is responsible for providing casework services to our guests to aid them in securing and maintaining housing, developing budget skills, utilizing community resources and providing support and encouragement as they work toward achieving their goals.
Case Aide The Salvation Army Eastern TerritoryCase AideAllentown, PennsylvaniaPart timeOverview: The Case Aide is responsible for providing casework services to our guests to aid them in securing and maintaining housing, developing budget skills, utilizing community resources and providing support and encouragement as they work toward achieving their goals. Assist Case Managers in working with residents on their Housing Stabilization Plans, promote activities to increase competence with activities of daily living, parenting skills and independent living skills.
Case Manager Tower Behavioral HealthCase ManagerReading, PennsylvaniaFull timeOverview: PURPOSE STATEMENT: Manage the client's/patient's/resident’s cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. · Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
NewHospice RN Case Manager (Berks / Lebanon County, PA) Ennoble CareHospice RN Case Manager (Berks / Lebanon County, PA)Lancaster, PAAs a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off hours time or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses.
Hospice RN Case Manager Chester & Delaware Counties, PA Ennoble CareHospice RN Case Manager Chester & Delaware Counties, PADelaware County, PAAs a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off hours time or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses.
Hospice RN Case Manager Berks / Lebanon County, PA Ennoble CareHospice RN Case Manager Berks / Lebanon County, PAPAAs a member of the interdisciplinary team, the RN Case Manager works under the general direction of the Director of Nursing, the attending physician and the interdisciplinary group in providing skilled nursing assessments, planning, and care in order to maximize the comfort and health of both patients and their loved ones/caregivers. Assume the role of associate nurse when responding to patient/loved ones/caregivers of other primary nurses during off hours time or as requested by the Patient Care Coordinator to fill patient/family needs during the absence of other primary nurses.
Blended Case Manager ElwynBlended Case ManagerPhoenixville, PAQUALIFICATIONS, EDUCATION AND EXPERIENCE: Bachelor's Degree preferred in Human Services field, such as social work, psychology, child development, special education, rehabilitative counseling, or closely related field, is required. Coordinates emergency psychiatric services within a timely manner, including documenting interventions, alternatives considered, and response of client/client family, and supporting agencies.
Hospice Registered Nurse Case Manager (RN) Suncrest Hospice LLCHospice Registered Nurse Case Manager (RN)Pottstown, PAThe Registered Nurse (RN) will be responsible for providing care and services for a group of patients, visiting patients where they reside, which could include private homes, Skilled Nursing Facilities, and assisted living facilities. Time management skills to manage visits, documentation, meetings (i.e. to scheduled visits, attend required meetings, respond to urgent needs by prioritizing and triaging multiple concerns).
Case Manager Acadia Healthcare Co IncCase ManagerReading, PAPURPOSE STATEMENT: Manage the client''s/patient''s/resident's cases with a solid background of clinical knowledge and expertise and may be responsible for providing some therapeutic services to clients/patients/residents. Responsible for coordinating continuum of care activities for assigned clients and ensuring optimum utilization of resources, service delivery, and compliance with external agencies and referral sources requirements.
NewRN / Registered Nurse Case Manager Hospice BrightSpring Health ServicesRN / Registered Nurse Case Manager HospiceLancaster, PAAccess to wellness and discount programs such as Noom, SkinIO (Virtual Skin Cancer Screening), childcare, gym memberships, pet insurance, travel and entertainment discounts and more! At Grane Hospice Care, our primary ambition is to bring first-class care to the warmest and most serene environment possible: home.
Child Advocacy Case Manager JusticeWorks Family of ServicesChild Advocacy Case ManagerWest Chester, PennsylvaniaGuided by our KidsFirst! philosophy, we deliver innovative, strengths-based services that promote stability, elevate the voices of children and youth, and support lasting positive outcomes. In this role, you will work closely with children, families, and community partners to ensure the voices and needs of children and youth are heard and addressed.
RN Case Manager- Pediatrics/Adults Bayada Home Health Care, Inc.RN Case Manager- Pediatrics/AdultsLebanon, PAThis office provides best in class care to clients throughout Wyomissing, PA and surrounding areas. Hence, we strongly encourage applications from people with these identities or who are members of other marginalized communities.
Family Based Case Manager - Part Time Child & Family Focus, Inc.Family Based Case Manager - Part TimeAudubon, PAPart timeChild and Family Focus's Family Based Services assign a team of one Master level clinician and one Bachelor level case manager to work closely with clients in the home, school and community to address the child’s emotional struggles as well as the larger systemic issues contributing to troublesome behavior. Child and Family Focus has a part-time, Bachelor's level Case Manager position available in Montgomery County that give our teams autonomy and flexibility in a clinically rich environment, with the support of experienced leaders.
RN Case Manager Bristol Hospice, LLCRN Case ManagerAllentown, PAAre you a Registered Nurse who thrives on providing compassionate, whole-person care-and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their families?. Bristol Hospice is a nationwide industry leader committed to providing a family-centered approach in the delivery of hospice services throughout our communities.
RN Case Manager Hospice Amedisys IncRN Case Manager HospiceLancaster, PA$88,000–$91,000 / yearJoin Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
Case Manager, Behavioral Health (Per Diem) St. Luke's Health Network, Inc.Case Manager, Behavioral Health (Per Diem)Allentown, PAPart timeIndividually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. Maintains appropriate, timely, and effective communication with patients, families, community agencies, physicians, nursing staff, department managers, ancillary departments, and the Manager regarding variances, aspects of patient care management.
Care Manager/ Case Manager Good Shepherd RehabilitationCare Manager/ Case ManagerPACoordinates UTILIZATION MANAGEMENT ProcessES By reviewing clinical information based upon admission and continued stay criteria Performing concurrent medical reviews to communicate to payers Initiating physician advisor reviews for cases not meeting established criteria for admission and/or continued stay to facilitate appropriate utilization of services Communicating denials from third party payers to the physician and coordinating a timely appeals process Updating demographic information, Obtaining signatures on admission paperwork and/or advance directives forms (where applicable) DEMONSTRATES A PROFESSIONAL DEMEANOR AND MAINTAINS PROFESSIONAL KNOWLEDGE By being flexible, responding positively to unexpected changes in the work load and work hours Performing other duties as directed Keeping abreast of regulations and policies related to utilization management and discharge planning, departmental staff meeting information. OBTAINS SERVICES AND RESOURCES FOR PATIENT By ascertaining appropriateness and referring to community resources Establishing rapport with agencies and support groups Arranging appointments REPRESENTS RIGHTS AND NEEDS OF PATIENTS By educating and informing patients about their rights Advocating on their behalf with community resources, insurers, treatment team COORDINATES TREATMENT AND DISCHARGE PLAN By leading interdisciplinary team meetings Bridging communication between team members, ancillary departments, insurers and significant others.