... . Provides oversight over a specified panel of members that range in health status/severity and clinical ... conjunction with professional clinical judgement to identify the right clinical intervention for each member ...

... . Provides oversight over a specified panel of members that range in health status/severity and clinical ... conjunction with professional clinical judgement to identify the right clinical intervention for each member ...

... ability to adopt use of new technologies to support execution of work Clinical knowledge or an ... & relationship building) Support internal process improvement activities and uphold Highmark strategic core ...

... ** One year in home clinical or case management experience Certified Case Manager (CCM ... , implementing and amending a back-up plan for gaps in provider coverage. Ensure approved support services ...

... the home setting. Implements current nursing practices. Patients’ clinical assessments are ... appropriately referred to other health care support systems or community resources based on identified needs ...

... the home setting. Implements current nursing practices. Patients’ clinical assessments are ... appropriately referred to other health care support systems or community resources based on identified needs ...

... accordance with the highest and most current clinical standards. The incumbent reviews escalated cases ... may be assigned special projects to help support and improve the care of our members ...

... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ...

... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ...

... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ...

... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel and utilizing data/analytics in conjunction with professional clinical judgement to identify the right ...

... interpretation of clinical and population health analyses, metrics and reports using clinical, member, financial ... health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively ...

... incumbent provides analysis in the development and support of projects and data analysis. Determines how decision support systems will provide information required to make effective business decisions; translates ...

... Decision Support Analyst or equivalent training and experience in a business or clinical environment with ... provides analysis in the development and support of projects and data analysis. Determines how decision ...