for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs..., providers, members, and other resources to evaluate options and services required to meet an individual’s health needs;promotes...
for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs..., providers, members, and other resources to evaluate options and services required to meet an individual’s health needs;promotes...
health of the member by assisting the member with the goal of increased health. Overall wellbeing by developing... of direct clinical care to the consumer Experience in managing complex or catastrophic health cases Specialty clinical...
a variety of functions and is a single source of contact for members, health care personnel and all other entities involved... to evaluate options and services required to meet an individual ‘s health needs. Promotes quality and cost-effective outcomes...
for members, health care personnel and all other entities involved in managing care. The Primary Nurse Coordinator performs..., providers, members, and other resources to evaluate options and services required to meet an individual’s health needs;promotes...
to ensure appropriate utilization of resources which meet Health Plan guidelines and patient needs. Provides direction... care setting required. Education Graduate of accredited school of nursing or Bachelors Degree in Nursing or health...
analysis tools (SPAN, SC03, AMESim, Simscape, Fluent, STAR-CCM+, NPSS) Experience with workflow automation (Preliminary System..., including health, dental, vision, disability, life and accidental death & dismemberment insurance;a flexible spending account...
to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager... and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity...
, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report... health care services based on medical necessity complying with contract for each appropriate plan type Initiation of timely...
. The Case Management Nurse, Senior will report to the Sr Manager, Care Management- Behavioral Health. In this role... plan in cases of member inquiry, triage hub, Behavioral Health condition, chronic conditions, poly-pharmacy, and inpatient...