Patient Advocacy Liaison – Allied MNL

Posted:3 Days

Description:

Conduct detailed utilization reviews to evaluate the necessity and appropriateness of patient care.
Assess clinical documentation against medical guidelines to determine treatment eligibility.
Review patient cases to ensure alignment with established care protocols and best practices.
Evaluate patient progress and update treatment plans accordingly.
Coordinate with multidisciplinary teams to establish patient care benchmarks.
Monitor ongoing treatment to ensure compliance with quality care standards.
Perform retrospective reviews to determine if inpatient admissions were medically necessary.
Consult with physicians to confirm medical justifications for extended care.
Collaborate with treatment teams to resolve discrepancies in case documentation.
Oversee timely benefit determinations in compliance with company standards.

Job Post

Patient Advocacy Liaison – Allied MNL