PRIMARY FUNCTION: - Coordinates the utilization of healthcare resources, including transition planning, facilitate the achievement of clinical, quality, financial and member satisfaction goals. PRINCIPAL DUTIES AND RESPONSIBILITIES: . - Perform ongoing telephonic case management activities of assessment, problem identification, planning, implementation, coordination, monitoring, and evaluation of case managed members - Collaborates with members, caregivers and members of the multi-disciplinary care team to develop a member centered plan of care to meet identified member care goals and outcomes - Develop, implement, evaluate and revise case management care plans according to case management eligibility criteria, contra
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