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Clinical Director of Care Management, Well Sense
Under the direction of the Vice President of Care Management, the Clinical Director of Care Management, Well Sense is responsible and accountable for the overall strategic direction, oversight, analysis, clinical compliance and data reporting for our Medicaid as well as Medicare Advantage Members and the Dually Eligible Members. The Director ensures that the delivery of care management and related care coordination activity between Medicaid and Medicare is based on specialized clinical expertise, critical thinking, established protocols, policies, procedures, practice standards, and applicable contract and regulatory care requirements. The Director represents the Plan in external meetings with key customers, in particular regulatory and advocate stakeholders. Key
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