Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementati...
Manages member care and progress for cases with multiple levels of risk and focuses on behavioral health needs. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mech...
Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementati...
Performs intake and enrollment assessments, person-centered planning, and ongoing maintenance and monitoring of overall service provision and each members well-being. Job Description: Job Responsibilities Partnering with members and families to identify needed supports and direct services to meet personal goals for good health, employment and independent or community living. Collaborates with a team of clinical and social support colleagues to me...
Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementati...
Supports area clinical team and serves as a proactive resource for members related to disease prevention and benefit education. Job Description: Job Responsibilities Conducting educational telephone calls advising members of available benefits, services and programs. completes health needs assessment, and refers members to population health management programs as appropriate. Reaching out to members with identified gaps in care. encouraging and m...
Manages member care and progress for cases with multiple levels of risk and focuses on behavioral health needs. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mech...
Manages member care and progress for cases with multiple levels of risk. Job Description: Job Responsibilities Supporting utilization management functions for more complex and non-routine cases as needed. Serving as a liaison between members, providers and internal/external customers in coordination of health care delivery and benefits programs. Overseeing highly complex cases identified through various mechanisms to ensure effective implementati...
