Description
Summary:
The Case Management Program Specialist is responsible for program management of the Case and Utilization Management functions.This role facilitates the planning, organizing, and coordinating the activities of the Case Management Department's activities.Requirements include demonstrating mastery of the clinical and administrative requirements to meet all regulatory requirements of managing care within the health plan environment.This also includes an understanding of TRICARE, DoD, and USFHP standards and programs.This position includes daily clinical discretionary capacity that has potential to affect the financial well-being of the health plan.
Responsible for all aspects of the Case and Utilization Management programs, including:
Requirements:
Work Type:
Full Time
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