Care Transition Professional

2 weeks ago

Manila, National Capital Region, Philippines Private Advertiser Full time
About the Position

We are seeking a skilled Care Transition Professional to join our team at Private Advertiser. As a Care Transition Professional, you will play a critical role in promoting healthy behaviors and improving health outcomes for our consumers.

Key Responsibilities

The successful candidate will be responsible for monitoring and evaluating the effectiveness of the care management plan and modifying as necessary. They will also develop and implement care plans to address individual consumer needs and promote healthy behaviors.

  • Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions and extensions of stay, outpatient services, out-of-network services, and appropriateness of treatment setting and level of care.
  • Develops and implements care plans to address individual consumer needs and promotes healthy behaviors.

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