Corporate Case Management

Job description

Legacy Health Services is seeking a detail oriented and collaborative Case Manager (CM) to join our Managed Care team. In this role, you will serve as a key liaison between patients, payors, physicians, and interdisciplinary care teams to ensure timely, accurate, and cost effective care coordination throughout the post acute skilled stay. This position is essential in supporting smooth transitions of care, utilization review, and optimal patient outcomes. Key Responsibilities: - Maintain strong working knowledge of all managed care contracts within assigned areas. - Negotiate appropriate levels of care with contracted and non contracted payors. - Coordinate smooth patient transitions and communicate discharge plans to interdisciplinary teams. - Obtain and verify clinical and discharge information from physicians, patients, and payors. - Complete timely reviews, authorizations, and documentation within MCO portals. - Serve as primary point of contact for care coordination throughout the continuum of care. - Participate in interdisciplinary team discussions to support care planning, identify barriers, and monitor progress. - Educate and train new team members on contract terms and ca...