The Clinical Case Manager has the primary goal of individual case management of medical cases as specified by the business to ensure quality care with special focus on balancing financial savings.
This role ensures that all parties (broker, company, provider, service partner, colleagues) involved are kept up to date on the progress of authorisation and case details. The Clinical Case Manager will have an integral role in the current case management process, as well as the claims audit and on-site case review.
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