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Clinical Director
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- Provide leadership, individually and through direct reports to meet the clinical and health plan metrics set by CCA Clinical Leadership all while remaining aligned with CCA's mission and values
- Accountable for KPI's associated with the Clinical Enterprise: Including lead and lag measures such as admission/readmission rates, total medical expenditure, MDS timeliness, HCC scoring accuracy, closing of HEDIS quality gaps, ACA completion, and activities associated with the timely decisions of prior authorization service requests.
- Accountable for the KPI's associated with CCA's Care Delivery, ensuring that the care provided directly by CCA clinicians is of the highest quality and appropriate for the individual needs of the member.
- KPI's include medication adherence, evidence of positive management of chronic disease, evidence of management of urgent needs, and Advanced Care Planning.
- Accountable for KPI's associated with member experience: including timely engagement between newly enrolled members and their care partners, standardized frequency of visits, appropriate utilization of CCA's internal clinical services to decrease acute care utilization
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