determination. Assist clinical care manager team to ensure cases are compliance with Emblem Health, State, Federal and NCQA... assignment planning, report oversight Provide mentoring and coaching to Care Management clinical team to ensure compliance...
Summary of Position Support the department's quality of care and cost containment. Provide utilization management... as needed to ensure coordination of health care delivery. Conduct medical appropriateness evaluations of acute care hospital...
Summary of Position Provide care management, as part of a multi-disciplinary care team, that includes care... coordination, performing telephonic or face-to-face assessments of members' health care needs, identifying gaps in care...
Summary of Position Support the integration of care and utilization management to Total Population Health holistic... model of care, characterized by multi-disciplinary and provider collaboration alignment, innovative clinical programs...
Responsibilities: Act as the primary relationship manager between our organization, our key distribution partners, major clients... skills; able to prioritize and handle multiple initiatives simultaneously. Excellent communication (verbal and written...
and community. The Opportunity Our Fulfillment Center in Florence, SC has immediate openings. This is an opportunity... and reaches millions more via multiple streaming services, websites, mobile apps and social pages. This facility operates...