Account Manager

• Coordinate and oversee patient care plans in collaboration with physicians, therapists, and nursing staff.
• Manage MDS (Minimum Data Set) assessments to ensure timely and accurate submission in accordance with federal and state regulations.
• Review, monitor, and manage managed care authorizations, ensuring patients receive appropriate and approved services.
• Participate in triple check processes to ensure accuracy of billing, coding, and clinical documentation.
• Communicate regularly with insurance providers, patients, and families regarding care plans and coverage.
• Monitor patient progress, outcomes, and transitions of care to reduce readmissions and optimize quality of care.
• Maintain compliance with regulatory requirements, company policies, and professional standards.
• Serve as a resource for staff education and training related to managed care, MDS, and documentation standards.

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