Care coordination and member education.

Worker's Compensation Disability Case Management

ER Case Management/Utilization Review Provided case management and utilization in 30 room acute emergency roomAssessed slated case for appropriate/inappropriate inpatient/observation admissions

Provided telephonic case management and utilization review for injured workers to get the patient back to the work setting.Coordinated care of injured workers with, orthopedic, surgical , neurological , and skin related injuries such as lacerations to assist the patient to appropriate provider service

Case Management/Utilization Review Provided case management and utilization of pediatric patients Organized patient care conferences to educate patients / parents on disease processes and developed discharge care plans

Custom Case Management Provided custom case management for business sectorImpacted patient cases by providing early intervention and coordination of discharge planning

Telephone Triage Pediatric/Adult Clients Coordinated and assessed pediatric and adult patients for case management and short/ long term care needsConducted telephonic medical advice (triage) for patients and parents to determine patients immediate care needs

Health Care Consultant Concurrent Review Pediatric/Adult Clients Provided case management for pediatric and adult patientsConducted utilization review for slated case for appropriate admit statusAssessed cases for appropriate utilization of care and services during hospitalization

Pediatrics/Adult Provided telephonic medical advice(triage) for pediatric patientsInterfaced with private physicians to discuss patient disposition and appropriate/inappropriate care needs

Pediatric/Adults Coordinated with the physicians to provide pediatric and adult orthopedic servicesProvided patient education as indicated for orthopedic diagnoses