Guidelines as well as departmental criteria and guidelines. Works collaboratively with other disciplines including Care Manager...The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare...
Under the supervision of the Senior Director of Integrated Care Management (ICM), the Director of ICM (Medicare... to the Medicare Model of Care, CMS regulatory requirements, established policies and workflows. They are also responsible...
services. Manages providers, members, team, or care manager generated requests for medical services and renders clinical...Overview: Assesses member needs and identifies solutions that promote high quality and cost-effective health care...
care, hospice and palliative care for adults and children, rehabilitation and nursing care at Menorah and Isabella Centers..., and the research based MJHS Institute for Innovation and Palliative Care. We also offer Elderplan/HomeFirst: health plans...
The RN (Registered Nurse) Case Manager is responsible for providing Rebekah Certified Home Health Agency patients... with quality care in a safe and judicious manner. The Case Manager will assist in facilitating and coordinating all services...
and at meetings. Assist the Manager, as needed, to determine areas that require immediate remediation and assist Fidelis Care... for Medicare & Medicaid Services (CMS regulations). Working in a home care environment or as a staff nurse in an acute, sub-acute...
interdisciplinary team; Primary RN/SW Care Manager and member/member’s representatives. Utilize benefit structure and community-based...The challenges of affordable healthcare continue to create new opportunities. Elderplan and HomeFirst, our Medicare...