Duties:
Determines medical necessity/ appropriateness
Facilitates optimal outcomes
Identifies and follow through with continuous quality/ compliance opportunities.
May also include identification of aberrance's and initiation of corrective action
Educates/ empowers customers to ensure compliance, satisfaction and promote patient advocacy
Optimize total costs
Implementation and evaluation of policy based on usage and program directives
Educate/empower colleagues at all levels to enable decision making at most appropriate level
Experience:
Case management experience required
Long term care experience preferred
Microsoft Office including Excel competent
Position Summary:
Location: Work from Home. Candidates must reside in North Miami.
Training will be conducted remotely via Microsoft Teams.
Candidate will travel approximately 75% of the time within the region seeing members at home, in assisted living facilities and nursing homes
Education:
Bachelor's degree required-No nurse, social work degree or related field.
What days & hours will the person work in this position List training hours, if different.
M-F: 8am-5pm
Remote
About the Company:
Apidel Technologies