... North Georgia Mountains 60 miles from Atlanta. The Case Manager is responsible for the coordination of care across ... pediatric, adolescent adult, and geriatric. This includes utilization management (including utilization review, obtaining pre-certification and concurrent review ... assessment, patient advocacy, education for the patient/family, complex case management, and monitoring value indicators to demonstrate outcomes ...

... This position integrates functions typically considered to be case management, care coordination and/or utilization management, and discharge planning assessment. As such, ... needs; c) reviewing utilization patterns; d) referring complex social issues to social work; e) managing concurrent denials; f) coordinating weekly Complex Case Review; g) collecting clinical process and outcomes data, ...