This position supports case management/social work staff to meet department objectives, facilitate effective communication between department staff and the internal and external customers to the department, including but not limited to the business office, revenue cycle, payors, long term care, sub-acute facilities, and patients/families. Reviews complex request for medical care and services, if part of the discharge plan, inpatient admission, skilled nursing facility admission, including requests for outpatient care, retrospective claim review, durable medical equipment, medication issues and acquisition, home health, in accordance with payer guidelines.