The Referral Case Manager will be responsible for managing the referred cases specified by SMHWC practitioners from the beginning of the referral process to the final processing for payment, including prior authorizations of insurances if applicable. The Referral Case Manager will attend and participate in meetings with both Medical and PRC to best standardize and communicate priority level determination procedures. In general, the Referral Case Manager will provide ongoing support and expertise through comprehensive assessment, planning, implementation and overall evaluation of individual patient needs. The Referral Case Manager will follow patients health prevention appointments such as mammograms, pap smear, PSAs, and colonoscopies. The overall goals of this position are: (1) enhance the quality of patient management and satisfaction, (2) promote continuity of care, and (3) insure cost benefit/effectiveness. These goals will be achieved through integrating the functions of case management and utilization review of the discharge plan and follow up care. The Referral Case Manager works under the direct supervision of the SMHWC Nursing Manager.