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ACO Case Manager (Hybrid)
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Full-time
- Hospitalization and post-discharge services including the use of Home Care, SNF, Rehabilitation, Palliative and Hospice levels of care
- Engaging at risk members to develop specific care plans to address health concerns, gaps in care and individual challenges in order to achieve an optimal level of wellness and functional capability
- Demonstrating a thorough understanding of, and ability to connect patients with, available resources in the Northeast Ohio community focused on improving the health, wellness, and overall quality of life for a patient.
- Analyzing various sources of data to identify at risk patients and member groups, then developing specific care plans to address health concerns, gaps in care, and other challenges.
- Connecting UHACO members with various UH Population Health team resources to improve the patient experience of care (including quality and satisfaction); improve the health of populations; and reduce the cost of health care
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