What are the responsibilities and job description for the Pediatric Patient Advocate and Case Manager position at University of Massachusetts Medical School?
Role Description:
The University of Massachusetts Medical School is seeking a skilled Nurse Reviewer II to provide administrative case management as part of the Community Case Management Program. This position involves authorization, coordination, and facilitation of community long-term care services for program Members.
Key Responsibilities and Deliverables:
- Serve as the clinical manager for an assigned caseload of Members.
- Assess, plan, organize, review, and evaluate the care needs of Members requiring community-based services.
- Determine and authorize services for Members in accordance with program guidelines and regulations.
- Prepare and implement Member service records.
- Coordinate, facilitate, and monitor the delivery of services to members.
