- Centene Corporation (Newark, DE)
- …of care/ member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan ... for care/services of activities. + Provides outreach to members via phone or home visits to...related to recommended care, and ongoing education for the member throughout care/service, as appropriate + Coordinates care activities… more
- Elevance Health (KS)
- …the efficacy of the care plan and/or to align with contractual requirements for member outreach , such as coordination and management of an individual's waiver ... such as the individual's Person-Centered Support Plan (PCSP) in accordance with member 's needs and contributes to the components of the person-centered planning… more
- Elevance Health (Columbus, OH)
- …the efficacy of the care plan and/or to align with contractual requirements for member outreach , such as coordination and management of an individual's LTSS ... such as the individual's Person-Centered Support Plan (PCSP) in accordance with member 's needs. Supports individuals in meeting their established goals, in the… more
- Molina Healthcare (Naperville, IL)
- …* Participates in ongoing or project-based activities that may require extensive member outreach (telephonic and/or face-to-face). * Guides members to maintain ... JOB DESCRIPTION Job SummaryProvides support for community-based member advocacy activities. Serves as a local member advocate and resource, using knowledge of… more
- Centene Corporation (Newark, DE)
- …and provides resources for care management team on key initiatives and member outreach to facilitate on-going communication between care management team, ... milestones + May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources + Provides coaching and… more
- CVS Health (CT)
- …guidance and oversight on Clinical rounds case prep, case selection, provider & member outreach when warranted. * Provides clinical review and adjudication of ... and internal/external business partners to ensure program design effectiveness, member safety and quality of care delivery. Join us...as 5 "Clinical Pearls" ppt presentations yearly. * Provider outreach to collaborate & solution around member … more
- Molina Healthcare (Detroit, MI)
- …+ Participates in ongoing or project-based activities that may require extensive member outreach (telephonically and/or face-to-face). + Guides members to ... the site of service. **KNOWLEDGE/SKILLS/ABILITIES** + Serves as a community based member advocate and resource, using knowledge of the community and resources… more
- UPMC (Pittsburgh, PA)
- …improvement based on information obtained from interaction with members and providers. + Conduct member outreach in response to assist with member issues or ... gaps in preventive care, addresses barriers to care, and supports the member 's self-management of chronic illness based on clinical standards of care. Collaborates… more
- Point32Health (MA)
- …Key Responsibilities/Duties - what you will be doing + Perform telephonic member outreach and/or face-to-face encounter utilizing key motivational interviewing ... care plan which ensures quality medical care for the member . The RN CM works closely with the ...member . The RN CM works closely with the member , the caregiver/authorized representative, and providers to meet the… more
- Fallon Health (Lowell, MA)
- …of and compliance with HEDIS and Medicare 5 Star measure processes, performing member education, outreach , and actions in conjunction with the Navigator and ... care and is continually rated among the nation's top health plans for member experience, service, and clinical quality. We believe our individual differences, life… more