In this role, you will be responsible for the design, development, monitoring, and revision of the Health Plan health care improvement program and documentation, including but not limited to the annual evaluation, mid-year assessment, and work plan.
The RN Care Manager manages clinical aspects of patient centered medical home, working with the interdisciplinary medical team in the provision of patient care. May participate in supervision of other clinical staff members.
In this role, you will be responsible for appropriate application of medical policy and criteria. Communicating and executing corporate initiatives. Management and control of departmental expenditures defined by cost center allocation.
In this role, the selected candidate will be responsible for performance analysis of Soarian Financial contracts and ensuring the expected net reimbursement is an accurate reflection of payments expected and received.