The position involves implementing and providing guidance to the team on best practices for conducting assessments and determining diagnoses. The role includes mentoring team members on communicating results, discussing treatment plans, and providing resources. The individual will also mentor across teams on member/patient advocacy, anticipating care issues, implementing feedback, and responding to complaints. Participation in the development of care experience standards is essential to ensure high-quality care experiences. The position requires guidance on determining appropriate services for referrals and implementing standards for sharing information with providers. Additionally, the role involves managing the implementation of new programs across teams, making adjustments to improve services, and coaching the team on implementing improvements to programs. Ensuring compliance with regulatory policies, standards, and procedures is also a key responsibility, along with consulting with Compliance and guiding the team on documentation, records, and reports according to regulations.
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Industry
Ambulatory Health Care Services
Education Level
Master's degree