CLINICAL MARKET LEADER
Company: Universal Health Services, Inc.
Posted on: May 24, 2023
Job Summary: This position is responsible for the management of clinically complex Medicare Advantage members within the south Texas market. This includes individuals with significantly complex medical, behavioral health, substance abuse and/or social determinates of health needs. The goal of this role is to ensure these members are receiving appropriate and timely high-quality care to reduce unnecessary utilization. Will work closely with the Prominence Health Services team and a multidisciplinary care team to assist in developing an optimal plan of care using evidence-based practice standards of care. The Clinical Market Leader requires an advanced level of nursing knowledge and expertise to identify members within established utilization benchmarks and develop a detailed analysis and care plan to direct care coordination in both in-patient and out-patient settings. The development of the care plan should include in-person assessments and collaboration with the member and their care team to identify medical and social needs.
Qualifications & Requirements
Keywords: Universal Health Services, Inc., McAllen , CLINICAL MARKET LEADER, Healthcare , Mcallen, Texas
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