• assists the RN Case Manager in performing necessary functions using the case management process • authorization of services • review of treatment plans for medical necessity • ongoing communication with all members of the health care team • operates under the direct supervision of the RN Case Manager • review all medical data to update a case management plan • make contact with the payer office to understand benefit constraints • proceed with contacting medical care providers to verify medical necessity • make care arrangements for quality patient care • negotiate with providers to maximize medical benefits available to the patient • maintain case in computer system documenting case actions