What are the responsibilities and job description for the Case Manager position at ICONMA?
Our Client, a Retail Pharmacy company, is looking for a Case Manager for their Macon County with a focus on areas around Decatur location.
Responsibilities :
- Facilitate appropriate healthcare outcomes for waiver / LTSS members by providing care coordination, support and
- education for members through the use of care management tools and resources.
- Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program / operational efficiency involving clinical issues.
- Determines medical necessity / appropriateness
- Facilitates optimal outcomes Identifies and follow through with continuous quality / compliance opportunities .
- May also include identification of aberrance's and initiation of corrective action Educates / empowers customers to ensure compliance, satisfaction and promote patient advocacy Optimize total costs Implementation and evaluation of policy based on usage and program directives
- Provide comprehensive healthcare management services to facilitate appropriate healthcare treatment, effectively manage healthcare costs and improve healthcare program / operational efficiency involving clinical issues
- Educate / empower colleagues at all levels to enable decision making at most appropriate level
