advisors, clients, patients, and providers Collaborates effectively with Interdisciplinary Care Team (IDCT) to establish...+ years of managed care and/or case management experience Proven knowledge of utilization management, quality improvement...
performance through key initiatives. As trusted advisors Business/Group Heads, you will identify, escalate, and mitigate... to Business Heads on key business decisions. Lead high-impact initiatives to drive innovation and transformation across managed...
with other companies/agencies that are involved in patient care i.e.: IV companies, funeral homes, spiritual advisors etc. Effective... and completeness consistent with Medicare guidelines that demonstrate measurable outcomes and GIP level of care, plan development...
Enjoys working with different personalities and being out in the field Experience working in or with managed care plans... partners closely with select providers to close health disparities and improve equity in the care the Alliance members receive...
behavioral health settings and experience in assessment and treatment planning; and/or experience in a managed care setting...The Clinical Care Manager (CCM) Specialist - Complex Care is part of a specialized team responsible for providing...
assessment and treatment planning; and/or experience in a managed care setting Skills: Excellent clinical case...The Clinical Care Manager is responsible for utilization management by conducting utilization review activities...
prospective residents, their family members, referral sources and/or advisors in, the decision making process by understanding... criteria. Keeps Interdisciplinary Care Team and key associates updated on the status of all prospective admissions. Monitors...
' experience in Acute or Managed Care/ experience with Medicaid or Medicare populations. OR Bachelor’s degree in Social Work... with five years’ experience in Acute or Managed Care/ experience with Medicaid or Medicare populations Preferred Pediatrics...
and problem resolution. Facilitate interactions between managed care organizations, providers, and payers to address benefit... (LOS) strategic oversight. The Medical Director will report to the Vice President of Care Coordination, Discharge Planning...
will focus on optimizing performance through key initiatives. As trusted advisors Business/Group Heads, you will identify... and transformation across managed solutions platforms. Communicate effectively with key business partners, including portfolio...