Job Description

Description:

Act as a liaison between the Enhanced Care Management (ECM)/Community Supports (CS) Program and providers and community agencies to promote effective implementation of program Provide support to the Provider Services Department and works with other Alliance departments related to training ECM/CS providers and implementation of ECM/CS Program activities Develop and manage an individualized comprehensive plan of care for members referred into the assigned ECM Program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner, at such times that contracted ECM providers are unable to provide these services to members Work with and educates members, families, providers, external agencies and internal departments on the Case Management Program

Skills:

Case management, Care management, rn license, utilization review, utilization management

Top Skills Details:

Case management,Care management,rn license

Additional Skills & Qualifications:

Community-based nursing Community-based organization and/or public health practices and processes Community-based service delivery to at risk populations, including motivational interviewing, trauma informed care, and other best practices

Experience Level:

Intermediate Level

About Actalent:

Actalent connects passion with purpose. Our scalable talent solutions and services capabilities drive value and results and provide the expertise to help our customers achieve more. Every day, our experts around the globe are making an impact. We\'re supporting critical initiatives in engineering and sciences that advance how companies serve the world. Actalent promotes consultant care and engagement through experiences that enable continuous development. Our people are the difference. Actalent is an operating company of Allegis Group, the global leader in talent solutions.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

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