Case Manager

Key Responsibilities:

• Conducts comprehensive case management, includes obtaining prior authorization for medications and procedures in accordance with hospital policies and procedures.
• Promotes, coordinates and oversees all activities related to case management, ensuring timely and effective care delivery.
• Safeguards patient confidentiality and handles all information in strict compliance with HIPAA regulations.
• Executes tasks related to authorizations for outpatient services, responds to denial letters, and manages related activities efficiently.

Qualifications:

• Bachelor’s degree in Nursing
• Registered Nurse with valid license from PRC