MedStar Health
Baltimore, MD, USA
About this Job: General Summary of Position Strong Inpatient hospital Utilization experience desired for this role. Experience with discharge planning, care coordination, and Interqual experience preferred. Coordinates negotiates procures and manages care of our members/enrollees to facilitate cost effective care and members/enrollees satisfaction. Facilitates the continuum of care works collaboratively with interdisciplinary staff internal and external to the organization. Responsible for carrying a complex case management case load ownership of a case management program(s) pre- authorization reviews to provide Medically Necessary timely and quality health care services in the most cost-effective manner and pharmacy reviews per population served.We recruit retain and advance associates with diverse backgrounds skills and talents equitably at all levels. Primary Duties and Responsibilities Contributes to the achievement of established department goals and objectives and...