Help us integrate health services and community resources to enhance care for dually eligible enrollees with complex needs, ensuring effective management and improved health outcomes through collaboration and support.
Lead the assessment and enrollment of potential members, ensuring eligibility and safety while collaborating with clinical teams. Drive community outreach and provide seamless transitions to managed long-term care services for new members.
Join a team that's dedicated to enhancing member care through effective coordination, assessment, and advocacy. This role involves collaborating with healthcare professionals to ensure quality outcomes and support independent living for members.
Elevate care by managing complex health needs for dually-eligible enrollees. Collaborate with interdisciplinary teams to coordinate services, ensuring seamless transitions and improved health outcomes through community engagement and resource access.
Deliver comprehensive oversight of utilization management activities, ensuring consistency in service delivery, regulatory compliance, and optimal member outcomes through effective team leadership and data analysis.