and are within the care manager’s professional discipline. Function in accordance with applicable state, federal laws and regulatory... Experience in UM/CM/QA/Managed Care LICENSES AND CERTIFICATIONS Required Current State of PA RN licensure OR Current multi...
and are within the care manager’s professional discipline. For assigned case load, create care plans to address members’ identified... a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to coordinate care...
and/or psychosocial needs have access to high quality, cost-effective health care. Assists in the holistic assessment, planning, arranging.... Advocates for the most appropriate care plan using sound clinical judgment; accurate planning, and collaboration with internal...