Working in partnership with the members primary care provider and interdisciplinary team, the community-based provider is responsible for seeing members recently discharged from the hospital and ensuring a smooth transition of care to prevent readmissions, seeing members who have urgent clinical needs and addressing them so they can avoid a trip to the Emergency Room, and performing chronic disease management and preventive care in conjunction with the center-based primary care team. Job DescriptionJob Summary
The Community Based Advanced Practice Provider focuses on providing both urgent and primary care to our members where they live.
This value is evident in everything we do, from the smell of scratch-made artisanal croissants and organic bread baking fresh throughout the day to the beauty of hand-crafted pastries, delicious coffee, and savory creations delivered in a warm and inviting atmosphere. This full-time, salaried role is hands-on and people-focused, requiring a strong leader who can inspire teams, deliver outstanding customer experiences, and drive operational and financial success.
Randallstown, MD14 days ago
Assists nurse Care Managers in communicating with the patient denied hospital days as well as the issuance of Medicare forms including HINN, Detailed Notice of Discharge to patients/family/significant other when they are in disagreement with the discharge plan arranged by attending and Care Management personnel.
Experience representing hospitals, health systems, physician groups, Medicare Advantage organizations, managed care organizations, pharmacy benefit managers (PBMs), healthcare technology companies, or private equity-backed healthcare platforms. Demonstrated experience representing clients before the U.S. Department of Justice (DOJ), U.S. Attorney's Offices, Department of Health and Human Services Office of Inspector General (HHS-OIG), Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, and other federal or state enforcement authorities.
p>Weāre looking for a senior-level sourcing/procurement professional who can independently run end-to-end strategic sourcing eventsāfrom intake through award and contract executionāfor professional services and/or IT categories in a complex, regulated environment. This is a highly stakeholder-facing role that requires confidence operating when requirements are still forming, strong contract redlining/negotiation skills, and comfort partnering closely with Legal and Risk.
Washington, DC27 days ago
Silver Spring, MD2 days ago
See Sunrise Senior Living Terms & Conditions at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/terms-and-conditions and Privacy Policy at https://c-5885-20221207-www-sunriseseniorliving-com.i.icims.com/privacy-policy and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The unique responsibilities for this role include but are not limited to the essential functions listed as follows: Coordination of Health Needs:- Identify on-going needs and services of residents in promotion of the highest quality resident services to be delivered.
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Lennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career.
Baltimore, Maryland30+ days ago
li>Attributed beneficiaries receive a follow up interaction from the TOC Care manager coordinator within 2 business days for hospital discharge and within one week for Emergency Department (ED) discharges; Coordinates referral management for attributed beneficiaries seeking care from high-volume and/or high-cost specialists as well as EDs and hospitals; Facilitates connection to services for patients who may benefit from behavioral health services including: patients with serious mental illness patients with substance use disorders' patients with depression anxiety or other mental health conditions patients with behavioral and social risk factors and BH issues patients with multiple co-morbidities and BH issues; elevates patients requiring longitudinal / ongoing care management needs following discharge to the CTO Lead Care manager MDPCP Social needs teams and or MDPCP Amb pharmacist where appropriate. In collaboration with the interdisciplinary care team acts as primary care team agent for the episodic care needs and coordination of care for a panel of attributed Medicare beneficiaries following discharge by ensuring the following: Ensures attributed beneficiaries have timely access to care (same day or next day access to the patient's own practitioner and/or care team for urgent care or transition management); Assists patients with scheduling appointments with providers including annual wellness visits.
RN Care Manager East Boston Neighborhood Health Center Corporation
RN Care ManagerWashington20 days ago
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