Ability to / Knowledge of:
- Manage cases smoothly and increase patient/physician satisfaction.
Strong clinical assessment to provide utilization review and/or discharge planning services to patients with medical & emotional needs.
- Track outcomes and report findings.
- Working knowledge of methods to resolve patient needs such as discharge planning, Home Health, DME and SNF’s.
- Use clinical knowledge to identify potential quality issues, delays in service, post-acute care needs.
Excellent verbal and written communication skills.
Negotiate orders with the physicians in order to assign alternate levels of care.
Working knowledge of reimbursement related to Medicare, Medi-Cal & Managed Care.