Isabelle Murphy
Managed Care Coordinator | MSW Candidate
- Role
- Managed Care Coordinator at Elderwood
- Location
- Buffalo, NY, US
- LinkedIn followers
- 500 followers
Experience
Managed Care Coordinator
Sep 2025 — Present · Cheektowaga, NY, US
Act as primary liaison between the Skilled Nursing Facility and HMO Managed Care case managers, completing 25+ weekly clinical reviews to obtain and maintain rehabilitative therapy authorizations.• Collect and prepare required EMR documentation, including hospital screens, wound notes, and therapy evaluations, to support clinical reviews.• Provide the interdisciplinary team with weekly reports on upcoming review dates and communicate real-time updates from HMO case managers.• Manage third-party appeals, coordinate peer-to-peer reviews, and issue Notices of Medicare Non-Coverage (NOMNC) and Advance Beneficiary Notices of Non-Coverage in compliance with CMS.
Education
Valley Central High School
High School Diploma
University at Buffalo
Bachelor of Arts - BA, Health and Human Services, Concentration in Child and Family Studies
University at Buffalo School of Social Work
Master of Social Work - MSW, Social Work
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