RN Acute Case Manager - System Care Management - Per Diem
and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates...
and optimize case reimbursement. a) Identifies cost/clinical outlier patients for intensive case management and facilitates...
, outlier definition for issues, and solution strategies. Continuously update the SOP based on product iterations and customer...
and management-owned businesses. We achieve outlier results for our clients by leveraging direct relationships with various types...
and management-owned businesses. We achieve outlier results for our clients by leveraging direct relationships with various types...
with FA for IDP/Ladder/PDR. Clinical Outlier Support: Act as the SME for Clinical Outcomes, providing strategic oversight...
for both technical accuracy and adherence to pricing policies. Outlier Management & Intervention: Proactively identify, investigate...
on clinical drivers and patient safety concerns. Clinical Outlier Support: Collaborate with leadership to align on priority... and coaching. Provide clinical outlier support by focusing on hospitalizations and quality and leveraging support from various...
, organization, and proactive communication Clinical Insights Assess clinical data to identify trends and outlier patterns...
members, focusing on clinical drivers and patient safety concerns. Clinical Outlier Support: Collaborate with leadership... cause analysis and coaching. Provide clinical outlier support by focusing on hospitalizations and quality and leveraging...
and investigation capabilities aimed at early detection and escalation of potential fraudulent trading, by inspecting outlier...