Holzer Health System Gallipolis, OH 45631, USA
Nursing Holzer Main - Gallipolis Main Internal Medicine PBB Full Time, Day Shift, 8-5 The Case Manager works within a team environment to: (1) Develop, guide and provide case management services, utilize clinical expertise, and coordinate with the third party administrator and the medical management team. (2) Analyze medical trends, and intervene with members at high risk and/or high utilizers. (3) Interact with Nurse Navigator and Nurse Practitioner to provide seamless case management activities across the care continuum, (4) Interact with physicians, community/system resources, administrators, (5) Set collaborative case goals, determine the implementation plan and measure outcomes, and (6) Use data from an intelligent data system to identify appropriate health plan members, design interventions, implement the care plan in coordination with the health team and member, and document clinical and financial outcomes. Education, Work Experience and Licensure: Graduate of an...
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