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Highmark Health
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Jackson, Mississippi
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compliance as well as CMS star ratings. Provides support to clinical appeals, facilitating member verbal ... conjunction with clinical appeal staff.Compose and complete oral and written responses to all parties
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Highmark Health
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Jackson, Mississippi
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One year in home clinical or case management experience
Certified Case Manager (CCM ... of the member’s care needs across the various service delivery systems and community supports. This
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Highmark Health
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Jackson, Mississippi
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actions as a licensed nurse and is accountable to patients for the quality of care delivered ... the home setting.
Implements current nursing practices.
Patients’ clinical assessments are
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Highmark Health
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Jackson, Mississippi
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. 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
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Highmark Health
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Jackson, Mississippi
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. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional ... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel
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Highmark Health
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Jackson, Mississippi
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. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional ... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel
...
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Highmark Health
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Jackson, Mississippi
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. The incumbent monitors, improves and maintains quality outcomes (clinical, financial and functional ... /severity and clinical needs. The incumbent assesses health management needs of the assigned member panel
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Highmark Health
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Jackson, Mississippi
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health and healthcare outcomes and clinical quality and costs of care, efficiently and effectively ... languages, analytical software, systems, tools and processes using claims, clinical, enrollment and provider
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