Comprehensively plans for case management services for a targeted patient population. Carries out activities related to utilization management, discharge planning, care coordination and referral to other levels of care. Works with physicians, Social Services, and interdisciplinary team to facilitate clinical pathways to achieve desired treatment outcomes. Promotes interdisciplinary collaboration and champions service excellence. Works collaboratively to ensure patient needs are met and care delivery is coordinated across the continuum at the appropriate level of care. Coordinates and oversees the care and service of patients to achieve desired clinical and resource outcomes. Assesses need for continued care for patients, applies utilization review concepts according to federal, state, and JCAHO guidelines.