Manages the daily performance of Clinical and non-Clinical Staff for the Government Programs Clinical Operations team. Hires and retains competent staff. Develops, implements, analyzes and revises as necessary reports for managing staff performance. Ensures that documentation by all staff is valid and timely for outcome reporting. Triages at risk members to the various integrated health management programs. Oversees referral processes between utilization management, case management and the disease state management programs. Interprets medical policy and standardized guidelines to assist staff in making day-to-day decisions regarding cases within the care management department. Facilitates training for all staff. Conducts timely staff evaluations, while giving regular performance f
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Case Management Society of America 5034A Thoroughbred Lane Brentwood, TN 37027