Summary
Responsible for providing case management services and support to improve health outcomes via a coordinated approach. The Case Manager works in collaboration and continuous partnership with patients and their family members, as well as pcp, specialists, clinic, hospital, and post-acute partners, along with community resources, to achieve the desired outcomes. Using a defined process to identify patients/members at risk for poor outcomes, the Case Manager establishes care plans and goals, and coordinates care and services throughout the continuum of care with the goal of maximizing member health and well-being, improving adherence to health programs, and reducing health care costs. The Case Manager must be highly collaborative with strong customer service skills and be able to demonstrate the ability to actively engage patients and providers in positive relationships. Must also be able to demonstrate the knowledge and skills necessary to provide care management services appropriate to the member being served.
Reports to: Director, Health Services
Location: Houston, TX area; will consider remote deployment on a case by case basis
Education: Registered Nurse (RN)
LICENSES/CERTIFICATIONS:
Registered Nurse (RN) with active license in the state of Texas or Compact state.
Certification in Case Management preferred (CCM or ACM)
EXPERIENCE :
SKILLS
RESPONSIBILITIES
TECHNICAL SKILLS
About Apex Health Solutions
Apex Health Solutions powers payers and providers choosing to engage in value-based risk contracting. Apex’s unique solutions create alignment between payers and providers, generating unparalleled value. Combined with Apex’s experienced and successful industry leadership, our focal point remains on improvement in patient quality, satisfaction and overall cost of care.
...in the Project. ~ Control and update periodically Health and Safety rates, objectives and KPI OHS Plan of the project: Health and... ...environment, preferably in construction of photovoltaic solar plants. OSHA 500 Certification Advanced Computer skills to produce reports...
...role executes tasks with increasing ownership, helping ensure projects are delivered on time, within budget, and to the highest quality... ...superintendents, architects, engineers, and subcontractors. Manage submittals, RFIs, and coordination processes under PM direction...
...As a global leader in cybersecurity, CrowdStrike protects the people, processes and technologies that drive modern organizations. Since 2011, our mission hasnt changed were here to stop breaches, and weve redefined modern security with the worlds most advanced AI...
...Location: Covington, KY Salary: $110,000.00 USD Annually - $135,000.00 USD Annually Description OSHA Compliance & Safety Program Manager Are you passionate about workplace safety and regulatory compliance? Judge Direct Placement is seeking an OSHA Compliance...
...This means you will be expected to report to one of our Aflac offices located in Columbus, Ga for at least 60% of the work week. You will work from your home (within the continental US) for the remaining portion of the work week. Details of this schedule will be discussed...