Lead Care Manager
CurrentWorks closely with front line department employees and leadership to be the first-line contact person for Care Management program inquiries. The subject matter expert for the documentation platform, and performs routine case audits. Assist with process improvement and policy/procedure maintenance. Assists in the development and implementation of policies, procedures, processes, materials, clinical guidelines, and documents for the care management program that comply with CMS, State of Wisconsin, NCQA, and other regulatory agencies. Assists the manager and supervisor of care management in ensuring that standards are communicated to, and understood, by team members. Identifies gaps and works with department leadership to facilitate implementation of improved processes. Maintains a member case load and performs core care manger role.