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Company: Integrated Resources, Inc.
Location: Costa Mesa
Posted on: September 21, 2022

Job Description:

This position is responsible for the daily oversight and management of inpatient and care management staff. This position must support, concurrent, retrospective inpatient review, discharge planning, transitional care and care management programs for Client MG and IPA assigned membership. They are responsible for helping to develop and implement any necessary P&Ps and workflow to ensure consistency, effectiveness and efficiency in the use of all resources required to accomplish all department goals and objectives. They will identify any opportunities for and implement any changes necessary to improve upon workflows and department performance that will ensure a high level of satisfaction with our customers and compliance with all Federal, State and Health Plan requirements. They will monitor the department performance aProductst these requirements. They will be a resource to staff for addressing difficult issues that arise within the department. Interface with Medical Directors, hospitalists, physicians, other department leaders and vendors as needed.Minimum of 2 years of supervisory experience required in medical group or health plan setting.Experience of at least two years with Inpatient Case Management and/or Outpatient Care Management.Have an understanding of nationally recognized criteria Milliman Care Guidelines/Interqual/CMS, etc..

Keywords: Integrated Resources, Inc., Costa Mesa , MANAGER CARE MANAGEMENT, Executive , Costa Mesa, California

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