Overview: Provides operational support to the VNSHealth affiliated medical practice, Medical Care at Home, to provide...) and Med Lists. • Conducts outreach calls to referred Health Plan members. Uses appropriate greeting, provides accurate information...
Overview: Supervises the day to day operations and coordinates all work activities of VNSHealth Plans Service... Operations. Ensures a customer-focused operation that meets VNSHealth Plans standards, goals, and objectives. Makes...
and internal staff in accordance with departmental and VNSHealth standards. Displays VNSHealth's care and commitment to its... of business, initiating proficiency in a specific area of expertise within VNSHealth. Receives and addresses consumer inquiries...
and modalities in accordance with established VNShealth policies and procedures. Works under general supervision. Responsibilities..., caseloads, clinical skills and patient care delivery to ensure compliance with state, federal and VNSHealth policy...
and prevention strategies. Utilizes appropriate community resources and serves as a liaison between VNSHealth and other community... programs. Transports and utilizes VNSHealth designated/supplied carrying case weighing up to 30 lbs...
for VNSHealth Provider Services (CHHA, Hospice, or Personal Care). Develops, implements and refines quality and safety... programs at the inter-professional level through consultation, program activities and collaboration across VNSHealth. Ensures...
not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNSHealth policies... in approval for out-of-network services when member receives services outside of VNSHealth network services. Provides case...
information and utilizes clinical expertise, VNSHealth policy and procedure and approved guidelines to assess the physical... expertise, VNSHealth policy and procedures and approved guidelines to provide appropriate care advice and direct caller...
not meet medical necessity criteria. Ensures compliance with state and federal regulatory standards and VNSHealth policies... in approval for out-of-network services when member receives services outside of VNSHealth network services. Provides case...
and internal staff in accordance with departmental and VNSHealth standards. Displays VNSHealth's care and commitment to its... of business, initiating proficiency in a specific area of expertise within VNSHealth. Receives and addresses consumer inquiries...