Performs and documents initial certification and continued stay reviews in appropriate time frame and appropriate database

Obtains information from patient, providers of services, insurance company, benefits administrators and others as necessary

Conveys complete and accurate clinical information to payor throughout certification process

Researches benefit data and options, programs and other forms of assistance that may be available to the client, and negotiates for services as indicated

Communicates pertinent reimbursement information to healthcare team while observing patient right to confidentiality

Assumes accountability for facilitating patient’s plan of care throughout their hospital stay