Administering all provider resources through the care continuum. Developing interventions and processes to assist the Health Plan member in meeting short and long term plan of care goals. Applicants must meet the following qualifications:
Providing member with resources to optimize their treatment outcomes. Supporting clinical services such as the appeals program. Skills and Requirements Include: Bachelors: Nursing (Required) License and Certifications - Required.
Coordinating member visits with providers and specialists as needed. Administering all provider resources through the care continuum. Must meet the following requirements for consideration: Traveling to member homes & provider facilities. Knowledge of Federal and State assistance programs.
Provide a complete continuum of quality care through close communication with members. Support members with condition education, medication reviews and connections to resources. Qualifications Include: 25-50% travel. Current, unrestricted RN license. Access to reliable transportation.
Researching and recommending resources to create flexible, cost-effective treatment options. Attending appropriate appointments and provides evaluation of patient's progress. Qualifications for this position include: Reliable transportation and local travel required.
Must be able to: Research and recommend resources and creates flexible, cost-effective options for catastrophically or chronically ill or injured individuals. Assess and coordinate medical care related to workers compensation injuries.
Advocating for the member/patient and family among various sites to coordinate resource utilization. Encouraging client/member/patient participation and compliance in the clinical program efforts. Required Skills: Travel or on call work specific to the care management program.