Consistent and on-going case consultation with all direct service providers Developing and maintaining internal and external resource relationships Service monitoring and following up to ensure continuity of care and updating the client service plan Identifies patient through consultation and high-risk diagnoses (i.e., COPD, CHF, DM) Accountable for the education, knowledge and process related to the Recovery Audit Contractors role in inpatient and outpatient reimbursement as related to the impact on TCRHCC revenue. Will be committed to Case Management Services and have some assignments with Purchased and Referred Care (PRC) formally known as Contract Health Services, providing assistance with the PRC Case Specialist Incumbents will be required to take call on scheduled weekends as deemed necessary Ensure proper PPE is worn at all times while on duty including but not limited to, face mask, gloves, gown, isolation gown, NIOSH-approved N95 filtering facepiece respirator or higher, if available), and eye or face shield.