Clinical Operations Opportunities at EmblemHealth
Summary of Position Responsible for the supervision of Medical Management Operations Teams in various non-clinical functions (including Retrospective...
Summary of Position Support the non-clinical functions required for successful Utilization Management. ; Ensure all work assigned to or by this...
Summary of Position Responsible for direct supervision for 5-8+ clinical staff under the guidance of a Supervisor or Lead staff member. ; Responsible...
Summary of Position Support the integration of care and utilization management to Total Population Health holistic model of care, characterized by...
Summary of Position Responsible for the execution of the non-clinical aspects of the Care Management process. ; Ensure information is appropriately...
Summary of Position Manage, monitor and track compliance of the UM, CM, MRU, MCRU adherence to Plan, regulatory, and accreditation requirements...
Summary of Position Assess medical risk for each identified claimant utilizing all available information and applying appropriate guidelines to meet...
Summary of Position Identify, develop and conduct appropriate training programs, including working with the Instructional Designer and Business...
Summary of Position Support the department’s quality of care and cost containment. ; Provide utilization management as needed to ensure coordination...
Summary of Position Work across the enterprise to help advance the modernization of utilization management, implement strategic process improvements,...