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Manage the delivery of services to members, ensuring services are appropriate and cost effective...

Establishes and standardizes defined policies, procedures, and processes to optimize efficiency and...

Lead and/or participate in department and Patient Centered Primary Care Home (PCPCH) initiatives to...

Participates in driving clinical and administrative compliance with care guidelines and core measure...

Researches and designs treatment /care plans to promote quality of care, cost effective health care...

Monitors and provides direction to the CM nurses to ensure implementation of timely processes and fo...