Case Management Lead Analyst
Current- Nagivate QNXT, Arcadia, MedHok and ExpressScripts system to review members’ protected health information.- Remain HIPAA compliant while providing assistance and developing SMART/ PGI in collaboration with members, family members and care teams.- Work in interdisciplinary care teams, including Medical Directors, Primary Care Physicians, Social Workers, and Nurse Case Managers to provide the best care solutions for members.- Develop and conduct teleassessments including fall risk… Show more - Nagivate QNXT, Arcadia, MedHok and ExpressScripts system to review members’ protected health information.- Remain HIPAA compliant while providing assistance and developing SMART/ PGI in collaboration with members, family members and care teams.- Work in interdisciplinary care teams, including Medical Directors, Primary Care Physicians, Social Workers, and Nurse Case Managers to provide the best care solutions for members.- Develop and conduct teleassessments including fall risk, COVID-19 and loneliness scale assessments.- Develop and implement workflow processes, training manuals, quality assurance and auditing.- Develop and present various presentations, pertaining to Social Determinants of Health to internal and external partners and vendors. Show less