and renders clinical determinations in accordance with Hamaspik Choice policies as well as applicable state and federal... regulations. UM Nurse delivers timely notification detailing Hamaspik Choice clinical decisions. Participates in UM review process...
Job Overview: The Stars Coordinator plays a vital role in promoting and facilitating proactive healthcare management for our members. This is essential for improving member health outcomes and is a key factor in achieving a high Medicare St...
Job Summary: The Business Development Representative is responsible for identifying and engaging seniors who may benefit from long-term care services and Medicare Advantage plans. This is a field-based outreach role focused on building rela...
Job Overview: The Care Manager acts as the sole communicator between member and Plan. Responsibilities include reviewing of person-centered service plan with member/members family and coordination of covered and non-covered benefits. Care M...
The Per Diem Enrollment Nurse is responsible for completing the UAS assessment, reviewing the NYIA assessment, creation of the time tasking tool for the potential member, and development of the Person-Centered Service Plan (PCSP). The Enrol...