The Manager for Clinical Care Management will directly supervise Clinical Care Managers and other team members and be responsible for hiring, coaching, performance management, skill development, and retention of these staff members.
In this role, you will be establishing, implementing, monitoring and evaluating high cost effective care plans for a designated group of patients in the ambulatory setting. Utilizing a patient centered approach, the care manager directly interfaces with physicians, health care teams, patients and their care givers in managing the patient's care.
In this role, you will be accountable for providing clinical expertise and quality reviews of external Care Coordination, physician and direct provider documentation for moderate to low exposure claims consistent with Best Practices Claim Model guidelines in support of benefit eligibility decisions.
In this role, the selected candidate will be overseeing population management activities with the Care Coordinators which includes addressing quality indicators that are out of range and assisting patients to reach targets.
In this role, the successful candidate will develop strong and lasting relationships with referral sources and community resources; facilitate local marketing and recruiting events to build a strong presence in the community.
In this role, you will be responsible to review and oversee the assessment and care plan for clinical appropriateness, appropriate service referral/utilization and integration across all health domains.
In this role, you will act as lead person between the program and the treatment team through written and documented telephone communication, as well as facilitation of meetings, to effect change in the best interest of the client.
In this role, you will build meaningful relationships with a specified number of seniors and their families as you provide assistance with activities of daily living, attend to individual care needs and get to know their unique preferences and personalities.
The RN CARE MANAGER is responsible for the coordination of the patient's care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients. in accordance with all applicable laws, regulations, and Life Care standards.
In this role, you will assist Lowell General Hospital in the development of the NAS-FSP model of care, by working and partnering with our current community partners, involving the OB Care Provider Practices and with the Lowell General Hospital MCH leadership teams. Incorporates the health promotion, health protection, and disease prevention of psychiatric nurse practitioner as it relates to OUD.
This position is accountable for identifying and developing innovative actions to meet the needs of the member from both the health care and psychosocial / socioeconomic dimensions of care as well as taking action for provision of services to meet those needs.