Summer Mccarthy Email and Phone Number

Complete Initial, concurrent reviews in a timely manner to ensure continuous coverage.‪Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.Conduct and manage initial, concurrent, and discharge reviews to optimize benefits and utilization.Represents the UR Department in a professional and positive way to other Departments and the company as a… Show more Complete Initial, concurrent reviews in a timely manner to ensure continuous coverage.‪Utilize clinical information and knowledge of Medical Necessity criteria to effectively communicate plans of care to insurance case managers, facility staff, and healthcare partners.Conduct and manage initial, concurrent, and discharge reviews to optimize benefits and utilization.Represents the UR Department in a professional and positive way to other Departments and the company as a whole.Consistently demonstrate excellent communication, prioritization, and multi-tasking skills.‪Maintains contact with the facilities and keep them updated on current insurance authorization updates, Reviews, and Denials.Document all activities in a detailed manner in applicable CRM/EMR.‪Collaborate with Clinicians and the multidisciplinary team daily at both the Residential and Day Programs in order to obtain necessary clinical documentation for reviews and ensure effective utilization of resources.‪ ‪Prepares and submit Appeal documentation (including rationales) to the appropriate entities as indicatedFollow chain of command both within the Department and outside of the Department. Show less

You Orient patients to the facility and ensure they receive quality care while in treatment, Provide close supervision and monitoring of patient activities to ensure their safety, as well as enforce facility rules, Supervise and transport patient to and from the facility (i.e. scheduled recovery meetings, appointments, community outings, etc.), Facilitate and document client drug screens (scheduled and random), Review, monitor, and adhere to medication management protocol for all patients. Must… Show more You Orient patients to the facility and ensure they receive quality care while in treatment, Provide close supervision and monitoring of patient activities to ensure their safety, as well as enforce facility rules, Supervise and transport patient to and from the facility (i.e. scheduled recovery meetings, appointments, community outings, etc.), Facilitate and document client drug screens (scheduled and random), Review, monitor, and adhere to medication management protocol for all patients. Must coordinate and update medication orders with appropriate staff and/or pharmacy, Write a daily shift report detailing client activities and enter in EMR (KIPU). Show less