Reports to Clinical Services Manager Assess the health status of members as within the scope of licensure and with the frequency established in the model of care Establish goals to meet identified health care needs Plan, implement and evaluate responses to the plan of care Work collaboratively the multidisciplinary team to engage resources and strategies to address medica

Manage chronic illnesses in a complex elderly population with multimorbid conditions focused on wellness, avoiding unnecessary hospitalizations and ER visits, providing patient education about disease processes, improving overall quality of care, and increasing patient satisfaction in the healthcare system Document timely with an added focus on closing HEDIS quality gap m

$10,000 Sign On Bonus for External Candidates

Make patient assessments in home setting and determining appropriate levels of behavioral care needed Obtain information from providers on outpatient requests for treatment Determine if additional clinical treatment sessions are needed Manage behavioral health cases throughout the entire treatment plan Administer benefits and review treatment plans in collaboration with i

Deliver remote care throughout an 8 week evidence based program Monitor participant progress, provide follow up communications and care coordination recommendations, and document session notes Participate as a member of the care team and assist participants as needed with accessing resources, as well as obtaining consent and authorization forms Identify and respond to hig

Travel to provide skilled nursing care for infusion patients in their home or an ambulatory infusion suite Teach patients and their care givers to achieve the highest level of independence possible in self care and monitoring of their infusion therapy Assess the patients' condition and response to therapy, taking action as needed to facilitate achievement of treatment goa