SUMMARY
Performs healthcare coordination and case management activities IAW Medical Treatment Facility (MTF) instructions.
ESSENTIAL DUTIES & RESPONSIBILITIES
- Ensures compliance with standards of care and practice (Accreditation Association for Joint Commission on Accreditation of Healthcare Organizations(JCAHO), Ambulatory Health Care (AAAHC) & Case Management Society of America (CMSA)).
- Collaborates with military and civilian healthcare providers and staff and uses Utilization Management (UM) systems support to identify high-risk/high-cost patients within MTF population.
- Determines eligibility for healthcare coordination/case management services.
- Coordinates with healthcare providers