Reports to: Medical Director, Population Health Services
Full-time position: Individual will provide direct clinical supervision of case management activities performed by the WellSpan Case Management staff
Looks for opportunities to improve transitions of care from acute care to Skilled Nursing Facilities
Renders utilization management determination in accordance with State and Federal regulations and coordinates resolution between the treating physician and health plan medical management services.
Facilitates WellSpan's partnership with health plan and payers medical management leadership for optimum population management
Provides leadership support for Population Health Strategies including ACO development, WellSpan Provider Network operations, Medical Home/ Neighborhood development and the Bridges to Health programs at the request of t