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Care Management Lead
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- The CML will collaborate with the Manager, Care Management and consult with additional clinical and compliance resources to ensure the effective onboarding and ongoing clinical support of care management teams to ensure delivery of high-quality services to consumers and caregivers.
- Manage the case conference process, facilitating case review as well as discussion of risk mitigation strategies and follow-up
- Drive effective utilization of established best practices and protocols across the team, ensuring compliance with contractual obligations and NCQA accreditation requirements; observe virtual/home visits with care management team members and review documentation for quality
- Coach and mentor care team members and identify individual or team training needs; provide training to new clinical team members and others as needed
- Assist the Manager, Care Management with incident investigations and reporting
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