Jun 25, 2022
Job Summary?Provides clinical and operational oversight of Medical Management. Serves as a resource for communication and access to services for staff, customers and other internal/external customers of Medical Management. This includes medical management, population analysis, determination of coverage, member steerage, transitions of care coordination, process improvement strategies, barrier analysis and data management. Reviews, develops, and provides on-going training and educational tools to staff. Assists with site visits, plans, directs and controls activities to meet operational needs.Job Duties ? Manages day to day operations with Medical Management staff to ensure effective member-centric delivery of medical management, resource utilization intervention, coordinated transitions of care, member steerage and other medical management strategies. Monitors operational performance within Medical Management using a variety of feedback reports related to quality and efficiency...
Geisinger Health System
Remote * (Mahoning County, OH, USA)