Supervisor Case Management - FL-CT-3583 - (Jacksonville, FL)

Innovative organization just keeps growing! Supervise the day to day operations of the case management function. Assure compliance with established referral, pre-certification and authorization policies, procedures and processes by related Medical Services staff. Assure compliance with established onsite and concurrent review, case management, referral, pre-certification and authorization policies, procedures and processes. Assure compliance with emergency management policies, procedures and processes. Facilitate on-going communication between case management staff, utilization management staff and contracted providers. Assist with the implementation of policies and procedures regarding medical case management. Maintain compliance with federal and state regulations and contractual agreements. Coordinate and communicate medical service functions with other departmental functions. Act as medical resource for appeals function.