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Supervisor Case Management (JC138261669)
Last Updated: 2019-05-22
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

General Overview

This job manages a team of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources. Ensures that care is medically appropriate, high quality, and cost effective. The incumbent is accountable for…

LTSS Case Manager (JC139042224)
Last Updated: 2019-05-22
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job serves as the single point of contact for members to coordinate all of the member’s care needs across the various service delivery systems and community supports. This is a full time community based position requiring frequent travel within…

Clinical Care Coordinator - Utilization Management (RN Delaw (JC141757695)
Last Updated: 2019-05-22
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job works directly with providers in a variety of health care settings to appropriately identify members with chronic conditions and/or gaps in care that can be positively impacted related to quality and care costs. The incumbent’s responsibilities could include…

Manager, Risk Revenue (DE) (JC140199661)
Last Updated: 2019-05-22
Employer: Highmark Health
Location: Home, DE

Company :

Gateway Health Plan

Job Description :

JOB SUMMARY

This job is responsible for creating plans and managing activities in support of governmental products where risk adjustment methodologies apply. Directs the daily activities of direct reports supporting risk adjustment programs and activities. Assesses viability of current direction/projects/operations and recommends…

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