Job Description
The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare and Medicaid managed care health plans, are outstanding examples of how we are expanding services in response to our patients' and members' needs. These high-quality healthcare plans are designed to help keep people independent and living life on their own terms.
Participant and contributor for bi-weekly IME rounds, weekly SNF and MJHS Plus program reviews. Act as health plan point of contact between member/caregiver, physicians and proposed continuing care partner representatives. Ensures successful transition onto next appropriate, agreed upon, continuing care service. Evaluates outcomes for continuing care service. Track and trend outcome data for Management Reporting.
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